Individual provider · Type 1 NPI

Jay Clark

Pastoral Counselor · Fargo, ND

NPI number 1851083000 Active

Practice location

2101 Elm St N
Fargo, ND 58102-2417

Call (701) 226-6796 Map

Mailing address

7234 29th St S
Fargo, ND 58104

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2479 (NC)
Pastoral Counselor Primary 101YP1600XNone listed

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About NPI 1851083000

Jay Clark's National Provider Identifier is 1851083000, issued on May 25, 2023. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Fargo, ND. The record was last updated on Jan 31, 2024.