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

Jendaya M Clark

Individual provider Counselor · NPI 1346866563

Jendaya M Clark is a Counselor in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

1201 Cypress Ter
Rockford, IL 61102-3375
Phone: (815) 519-8548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 180.012915 (IL)

Record details

NPI number1346866563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020
Mailing addressPo Box 341, Rockford, IL 61105-0341

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