Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME CLARK
Active Sole ProprietorJEROME CLARK is a Mental Health Counselor healthcare provider located in WAUKEGAN, Illinois. NPI 1013465145 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WAUKEGAN, IL
Registration Details
- NPI Number
- 1013465145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2016 (9.8764175432728 yrs)
- Last Updated
- Sep 19, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
671 S LEWIS AVEWAUKEGAN, IL, 600856101Browse IL providers · Browse ZIP 60085
- Phone
- 8477824000
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in WAUKEGAN, IL
| Name | Credential | NPI |
|---|---|---|
| RODRIGO MANJARRES | MA | 1376563916 |
| JOHN GINTER | LCPC | 1750303129 |
| ALYSON GENELL MARSALIS | LCPC | 1104928688 |
| JUDITH TAPIA | MA | 1235334368 |
| JOSHUA JOEL VANPELT | MA, LCPC, CADC | 1639311129 |
| CATHY CHESTLER | — | 1215269766 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.