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

Mr. Shawn W Clark

Individual provider Mental Health Counselor · NPI 1073298790

Mr. Shawn W Clark is a Mental Health Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

555 Stockton St
Jacksonville, FL 32204-2534
Phone: (904) 387-4661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH20786 (FL)

Record details

NPI number1073298790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

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