Organization
JESSICA CLARK THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CLARK LCSW (CEO/DIRECTOR/OWNER)
(530) 461-5353
Entity
Organization
Contact information
Practice address
1101 DIANTHUS LN # 1101, EL DORADO HILLS, CA 95762-6817
(530) 461-5353
Mailing address
1101 DIANTHUS LN # 1101, EL DORADO HILLS, CA 95762-6817
(530) 461-5353
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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