Jerry C Clerc is a Mental Health in St Louis, Missouri. Jerry C Clerc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerry C Clerc is 1366503740. The last update date is 2007-07-08.
Jerry C Clerc's current location address is 3631 Tamm, St Louis, Missouri. You can contact this provider via phone number 3148633588 and fax number 3148630074. The mailing address for Jerry C Clerc is 3631 Tamm, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry C Clerc |
|---|---|
| Address | 3631 Tamm, St Louis, Missouri |
| Phone Number | 3148633588 |
| Fax Number | 3148630074 |
| Sole Proprietor | N |
| Credentials | MED LPC |
NPI Number Detail
| NPI Number | 1366503740 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3631 Tamm |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 63109 |
| Phone Number | 3148633588 |
| Fax Number | 3148630074 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 683 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ANTHEM 1111 | MO | BCBS ANTHEM NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Jerry C Clerc by the Centers for Medicare & Medicaid Services?
The Jerry C Clerc has been issued the NPI (National Provider Identifier) 1366503740. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerry C Clerc's physical address?
The Jerry C Clerc is physically located at 3631 Tamm, in the city of St Louis, MO, with the postal code 63109.
What is Jerry C Clerc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry C Clerc's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date was the 1366503740 assigned to Jerry C Clerc?
The Jerry C Clerc was issued its 1366503740 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerry C Clerc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry C Clerc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.