Individual
MS. PENNY JAYMES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
1290 JORDAN ST, NORTH LIBERTY, IA 52317-8020
(319) 356-6352
(319) 358-2367
Mailing address
1290 JORDAN ST, NORTH LIBERTY, IA 52317-8020
(319) 356-6352
(319) 358-2367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00733
IA
Other
Enumeration date
03/02/2010
Last updated
07/21/2022
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