Organization
DR JANE CLARK LLC
Active
Parent organization
DR.JANE CLARK,APRN, DNSC
Other names
Dr Jane Clark LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR.JANE CLARK,APRN, DNSC
Authorized official
DR. JANE ELIZABETH CLARK DNSC, MS (APRN)
(860) 490-0800
Entity
Organization
Contact information
Practice address
15 MEADOW ST, LITCHFIELD, CT 06759-3504
(860) 490-0800
(888) 859-4374
Mailing address
2 KEYSTONE CIR, AVON, CT 06001-3312
(860) 490-0800
(888) 859-4374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001952
CT
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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