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Jayla Clark, LMCHA

NPI 1568275816 · on the registry since 2025

Practice

Address
54367 30th St Ste 4
South Bend, IN 46635
Phone
(574) 207-2026

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-30

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 Indiana