Individual
MR. JEFFREY S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
4455 NARROW LANE RD, MONTGOMERY, AL 36116-2953
(334) 288-8890
Mailing address
4455 NARROW LANE RD, MONTGOMERY, AL 36116-2953
(334) 288-8890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2056
AL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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