Individual
JAMELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4747 EARHART BLVD, NEW ORLEANS, LA 70125
(504) 482-2600
Mailing address
4747 EARHART BLVD, NEW ORLEANS, LA 70125-1743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10
LA
101YM0800X
Mental Health Counselor
25
LA
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
07/19/2018
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