Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackia Clark

Individual provider Counselor · NPI 1669394417

Jackia Clark is a Counselor in Henderson, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

805 Stanley St
Henderson, NC 27536-3059
Phone: (984) 353-8294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1669394417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2026
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026
Mailing address805 Stanley St, Henderson, NC 27536-3059

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