Individual provider · Type 1 NPI
Jan Christine Clark, TLMHC
Mental Health Counselor · Fort Madison, IA
NPI number
1871363853
Active
Practice location
509 Avenue F
Fort Madison, IA 52627-2910
Fax (319) 372-8074
Mailing address
301 W Burlington Ave
Fairfield, IA 52556-3242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 123568 (IA) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Fort Madison
About NPI 1871363853
Jan Christine Clark, TLMHC's National Provider Identifier is 1871363853, issued on Jan 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Madison, IA. The record was last updated on Jan 2, 2024.