Jerome Clark
Jerome Clark is a Mental Health Counselor in Waukegan, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
671 S Lewis AveWaukegan, IL 60085-6101
Phone: (847) 782-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1013465145 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2016 |
| Last updated in NPPES | September 19, 2016 |
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