Jerry D Clark is a Mental Health in Houston, Texas. Jerry D Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerry D Clark is 1710058284. The last update date is 2007-07-08.
Jerry D Clark's current location address is 1830 Nasa Pkwy Ste 104, Houston, Texas. You can contact this provider via phone number 2813358422 and fax number 2813350702. The mailing address for Jerry D Clark is 1830 Nasa Pkwy Ste 104, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry D Clark |
|---|---|
| Address | 1830 Nasa Pkwy Ste 104, Houston, Texas |
| Phone Number | 2813358422 |
| Fax Number | 2813350702 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1710058284 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1830 Nasa Pkwy Ste 104 |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770583544 |
| Phone Number | 2813358422 |
| Fax Number | 2813350702 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 15162 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry D Clark?
The Jerry D Clark has been issued the NPI (National Provider Identifier) 1710058284 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jerry D Clark?
The Jerry D Clark is situated at 1830 Nasa Pkwy Ste 104, in the city of Houston, state of TX, with the zip code 770583544.
What is Jerry D Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry D Clark's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
When did the Jerry D Clark receive its 1710058284?
The Jerry D Clark was issued its 1710058284 on 2006-11-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jerry D Clark most recently updated or revised?
The information pertaining to Jerry D Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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