Jessica Clark
Jessica Clark is a Counselor in Ilwaco, Washington. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
152 First Ave NIlwaco, WA 98624
Phone: (503) 960-5098
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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 number | 1558034942 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 30, 2021 |
| Last updated in NPPES | July 30, 2021 |
| Certification date | July 30, 2021 |
| Mailing address | 5 N Highway 101 # 188, Warrenton, OR 97146-9313 |
Other providers in Ilwaco
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Richelle Ruth Lincoln
152 1st Ave N, Ilwaco, WA 98624-9137 · (360) 261-6930
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Keli Marie Vasquez, AGENCYAFFILIATEDCO
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