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Individual
JAMES JACOB CLARK
Active
Individual
JAMES JACOB CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0022808
CO
101YM0800X
Mental Health Counselor
Primary
0701013896
VA
Other
Enumeration date
07/18/2022
Last updated
09/09/2025
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