Individual provider · Type 1 NPI

Jenna Clark

Mental Health Counselor · Orlando, FL

NPI number 1902537467 Active

Practice location

5768 S Semoran Blvd
Orlando, FL 32822-4818

Call (407) 896-2323 Map

Mailing address

526 Oakleaf Dr Apt 2
Lakeland, FL 33801-9115

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902537467

Jenna Clark's National Provider Identifier is 1902537467, issued on Jun 23, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Jun 23, 2022.