Individual
MRS. JODI ELEANOR CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC/MHSP, NCC
Contact information
Practice address
9111 CROSS PARK DR, BUILDING D, SUITE 200, KNOXVILLE, TN 37923-4506
(865) 384-2172
Mailing address
8656 ABRAHAM LN, KNOXVILLE, TN 37931-3859
(865) 384-2172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8550
FL
101YP2500X
Professional Counselor
Primary
LPC 2392
TN
Other
Enumeration date
04/06/2006
Last updated
04/22/2010
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