Jan Fisher Clark, LPC

NPI #1548927379 in Chubbuck, Idaho

Provider Information

NPI Number
1548927379
Entity Type
Individual
Name
Jan Fisher Clark, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Nov 29, 2021
Last Updated
Nov 29, 2021

Practice Location

Address
265 E CHUBBUCK RD
State
Idaho
ZIP Code
83202-5055
Phone
(208) 237-1711

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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