Jay Clark
Jay Clark is a Professional Counselor in Fargo, North Dakota. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2101 Elm St NFargo, ND 58102-2417
Phone: (701) 226-6796
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Specialties & licences
| Pastoral Counselor (primary) | Taxonomy 101YP1600X |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 2479 (NC) |
Record details
| NPI number | 1851083000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 25, 2023 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
| Mailing address | 7234 29th St S, Fargo, ND 58104 |
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