Individual provider · Type 1 NPI

Jayce Dean Clark Ii

Addiction (Substance Use Disorder) Counselor · Provo, UT

NPI number 1952992133 Active

Practice location

1053 W 1020 S
Provo, UT 84601-5656

Call (801) 515-3323 Map

Mailing address

141 S 200 W
American Fork, UT 84003-2207

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14197389-6006 (UT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1952992133

Jayce Dean Clark Ii's National Provider Identifier is 1952992133, issued on Jan 29, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Provo, UT. The record was last updated on Aug 4, 2025.