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Jackie Clark

NPI 1467874107 · on the registry since 2014

Practice

Address
6130 Elton Ave
Las Vegas, NV 89107
Phone
(919) 710-4252
Organisation at this address
Outward Bound
Minds Matter Lv, Llc
All Hands Doula Services Ltd
Dupree Home Care Services Llc
Living Waters Trauma Institute, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-15
Status
Not present in the most recent federal file

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 Nevada