Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA CLARK
Active Sole ProprietorJESSICA CLARK is a Counselor healthcare provider located in ILWACO, Washington. NPI 1558034942 is currently active in the NPPES registry. Verify at CMS.
Counselor · ILWACO, WA
Registration Details
- NPI Number
- 1558034942
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2021 (5.0460151596267 yrs)
- Last Updated
- Jul 30, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
152 FIRST AVE NILWACO, WA, 98624Browse WA providers · Browse ZIP 98624
- Phone
- 5039605098
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in ILWACO, WA
| Name | Credential | NPI |
|---|---|---|
| KELI MARIE VASQUEZ | AGENCY AFFILIATED CO | 1043915556 |
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.