Individual
MRS. JESSICA YUKIHIRO CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4090 CENTER PARK DR, COLORADO SPRINGS, CO 80916-4507
(530) 265-9057
Mailing address
8081 GOLDENRAY PL, COLORADO SPRINGS, CO 80908-5078
(562) 857-3592
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
120350
CA
390200000X
Student in an Organized Health Care Education/Training Program
93310
CA
Other
Enumeration date
08/01/2016
Last updated
04/15/2025
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