Jendaya Clark
NPI 1346866563 · on the registry since 2020
Practice
- Address
- 1201 Cypress Ter
Rockford, IL 61102 - Phone
- (815) 519-8548
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois