Jessica Clark

NPI #1558034942 in Ilwaco, Washington

Provider Information

NPI Number
1558034942
Entity Type
Individual
Name
Jessica Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Jul 30, 2021
Last Updated
Jul 30, 2021

Practice Location

Address
152 FIRST AVE N
City
Ilwaco
ZIP Code
98624
Phone
(503) 960-5098

Specialties & Taxonomy Codes

Specialty
Counselor

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