Individual
JENNIFER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CRC, LMHC
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2975
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075057
IA
225C00000X
Rehabilitation Counselor
118884
IA
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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