DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACLYN CLARKE

Active Sole Proprietor

JACLYN CLARKE is a Counselor healthcare provider located in BURNS HARBOR, Indiana. NPI 1962010314 is currently active in the NPPES registry. Verify at CMS.

Counselor · BURNS HARBOR, IN

Registration Details

NPI Number
1962010314
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2020 (6.0962658480389 yrs)
Last Updated
Jul 21, 2020
Sole Proprietor
Yes

Practice Information

Address
1245 COAN ST
BURNS HARBOR, IN, 463049764
Browse IN providers · Browse ZIP 46304
Phone
7733227075
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.