Organization
JENCLARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CLARK PENNEY (OWNER/COUNSELOR/THERAPIST)
(314) 604-4050
Entity
Organization
Contact information
Practice address
4121 UNION RD STE 225, SAINT LOUIS, MO 63129-1093
(314) 730-6787
Mailing address
17035 SANDALWOOD CREEK DR, WILDWOOD, MO 63038-1541
(314) 604-4050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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