Individual
JENNIFER ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
183 WILDWOOD CT, RICHLAND, WA 99352-9499
(509) 779-8604
Mailing address
183 WILDWOOD CT, RICHLAND, WA 99352-9499
(509) 779-8604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC.LH.61691556
WA
101YP2500X
Professional Counselor
178.018157
IL
101YP2500X
Professional Counselor
Primary
180.016757
IL
101YP2500X
Professional Counselor
Primary
180016757
IL
Other
Enumeration date
09/26/2022
Last updated
05/14/2026
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