Jason Clark is a mental health counselor in Chicago, IL. Jason Clark NPI is 1033727425. 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:
2451 N LINCOLN AVE SIDE 2
CHICAGO, IL
ZIP 60614-170
Phone: (773) 469-6675
The enumeration date for this NPI number is 7/21/2020 and was last updated on 7/21/2020.