Individual
JAYLAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 W CORNWALLIS DR STE 207, GREENSBORO, NC 27408-6334
(336) 937-3146
Mailing address
4347 HEWITT ST APT E, GREENSBORO, NC 27407-2088
(252) 325-0237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20242
NC
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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