JEANNETTE B. CLARK MSED. LPCC NPI 1326407206

NPI Information

NPI: 1326407206
Provider Name: JEANNETTE B. CLARK, MSED., LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
941 RIVER RD
GRANVILLE, OH
ZIP 43023
Phone: (740) 587-1543
Get Directions

Jeannette B. Clark, MSED., LPCC is a mental health counselor in Granville, OH. Jeannette B. Clark, MSED., LPCC NPI is 1326407206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

941 RIVER RD
GRANVILLE, OH
ZIP 43023-534
Phone: (740) 587-1543
Fax: (740) 587-1573

The enumeration date for this NPI number is 2/19/2016 and was last updated on 6/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	E.2001704	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1473276	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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