Organization
JESSICA THE COUNSELOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ILO CLARK LPC (OWNER)
(602) 354-1562
Entity
Organization
Contact information
Practice address
591 GAS PLANT RD, MOORE, SC 29369-9424
(602) 354-1562
Mailing address
591 GAS PLANT RD, MOORE, SC 29369-9424
(602) 354-1562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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