Individual provider · Type 1 NPI

Lisa Jacobs Clark

Mental Health Counselor · Riverside, CA

NPI number 1891241469 Active

Practice location

6840 Indiana Ave Ste 275
Riverside, CA 92506

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMF69558 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1891241469

Lisa Jacobs Clark's National Provider Identifier is 1891241469, issued on Sep 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Sep 1, 2016.