JACKIE CLARK

Counselor - Mental Health

Active Individual
NPI: 1467874107

Practice Address

6130 ELTON AVE
Las Vegas, NV 89107

Phone: (919) 710-4252

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 251S00000X (NV)

Frequently Asked Questions

NPI 1467874107 is the National Provider Identifier for JACKIE CLARK, a Counselor - Mental Health provider located in Las Vegas, NV. This NPI was enumerated on January 15, 2014.
JACKIE CLARK practices at 6130 ELTON AVE, Las Vegas, NV 89107.

Quick Facts

NPI
1467874107
Type
Individual
Enumerated
Jan 15, 2014
Last Updated
Jan 15, 2014

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