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Individual

JAYLEN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LGPC, NCC

Contact information

Practice address
621 WOODSDALE RD, CATONSVILLE, MD 21228-3342
(443) 955-2937
Mailing address
621 WOODSDALE RD, CATONSVILLE, MD 21228-3342
(443) 955-2937

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/30/2025
Last updated
05/30/2025
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