Individual
JENNIFER J CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
301 CENTENNIAL MALL S, LINCOLN, NE 68508-2529
(402) 471-7909
Mailing address
301 CENTENNIAL MALL S, LINCOLN, NE 68508-2529
(531) 220-1852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026039600
—
NE
Enumeration date
07/18/2011
Last updated
06/05/2025
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