Individual
MS. PENNY LOUISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
221 PALISADE AVE, PALISADE BEHAVIORAL CARE, JERSEY CITY, NJ 07306
(201) 656-3116
(201) 656-9044
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00319000
NJ
Other
Enumeration date
08/30/2006
Last updated
09/18/2024
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