Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY LEE CLARK, M.H.S.
ActiveMR. JERRY LEE CLARK, M.H.S. is a Counselor healthcare provider located in PHILA, Pennsylvania. NPI 1356521371 is currently active in the NPPES registry. Verify at CMS.
Counselor · PHILA, PA
Registration Details
- NPI Number
- 1356521371
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2007 (18.72497706862 yrs)
- Last Updated
- Nov 7, 2007
Practice Information
- Address
-
112 N BROAD STRM 821PHILA, PA, 191021510Browse PA providers · Browse ZIP 19102
- Phone
- 2155680860
- Fax
- 2155680769
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in PHILA, PA
| Name | Credential | NPI |
|---|---|---|
| MAGGIE LYONS-JOHNSON | PC | 1689614422 |
| MS. LYNN JOHNSON-GLEATON | LPC | 1033137419 |
| MRS. TAMARA RAQUEL GRAY | B.S.ED. | 1093830366 |
| TERRELL M WRIGHT | B.S. | 1851415152 |
| MR. JEFFREY TODD WIMBUSH | — | 1467576769 |
| FIRYAL M FARHAN | — | 1538284807 |
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.