Individual
JACQUELINE ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
2845 BELL ST, ZANESVILLE, OH 43701-1720
(740) 454-9766
(740) 588-6452
Mailing address
2845 BELL ST, ZANESVILLE, OH 43701-1720
(740) 454-9766
(740) 588-6452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C 1100095
OH
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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