Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER R. CLARK
ActiveJENNIFER R. CLARK is a Counselor healthcare provider located in WENTWORH, North Carolina. NPI 1871807560 is currently active in the NPPES registry. Verify at CMS.
Counselor · WENTWORH, NC
Registration Details
- NPI Number
- 1871807560
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2010 (16.01564353256 yrs)
- Last Updated
- Aug 5, 2010
- License
-
P006015 (NC)
Practice Information
- Address
-
405 NC HWY 65WENTWORH, NC, 273750355Browse NC providers · Browse ZIP 27375
- Phone
- 3363428316
- Primary Specialty
-
Counselor
101Y00000X
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.