Individual
JASMINE MAKAYLA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WRAPAROUND
Contact information
Practice address
697 PRO MED LN, CARMEL, IN 46032-5323
(317) 587-0517
Mailing address
9615 E 148TH ST STE 1, NOBLESVILLE, IN 46060-4371
(317) 587-0517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100073590A
IN
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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