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

Jessica Marie Bradford Clark, MS

Individual provider Counselor · NPI 1063044816

Jessica Marie Bradford Clark, MS is a Counselor in Chattanooga, Tennessee. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

6055 Shallowford Rd
Chattanooga, TN 37421-1688
Phone: (423) 266-6751
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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 number1063044816
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020

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