Search › California › 1041C0700X
Jennifer Clark, LCSW
NPI 1770893786 · on the registry since 2010
Practice
- Address
- 1301 Southpoint Blvd
Petaluma, CA 94954 - Phone
- (707) 559-7500
- Fax
- (707) 559-7540
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-30
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 California