Jesse Wayne Clark, LPCC is a mental health counselor in Dayton, OH. Jesse Wayne Clark, LPCC NPI is 1730517087. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
65 GRADY CT
DAYTON, OH
ZIP 45409
Phone: (937) 416-4031
The NPI 1730517087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 10/24/2013 and was last updated on 8/2/2018.