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Individual
MRS. JILL MARIE SHEPHERD PIERCY CLARK
Active
Individual
MRS. JILL MARIE SHEPHERD PIERCY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT #106007
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
82913
CA
103TC0700X
Clinical Psychologist
82913
CA
103TC1900X
Counseling Psychologist
82913
CA
106H00000X
Marriage & Family Therapist
Primary
106007
CA
106H00000X
Marriage & Family Therapist
82913
CA
Other
Enumeration date
09/15/2016
Last updated
09/27/2026
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