Jill Clark, BA MS LPC
NPI #1568684777 in West Carrollton, Ohio
Provider Information
- NPI Number
- 1568684777
- Entity Type
- Individual
- Name
- Jill Clark, BA MS LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- BA MS LPC
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1170 E CENTRAL AVE
- City
- West Carrollton
- State
- Ohio
- ZIP Code
- 45449-1825
- Phone
- (937) 865-9061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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