Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Jacobs Clark

Individual provider Mental Health Counselor · NPI 1891241469

Lisa Jacobs Clark is a Mental Health Counselor in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

6840 Indiana Ave Ste 275
Riverside, CA 92506 Not confirmed with CMS for 10 years — call before visiting
Phone: (951) 823-5134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMF69558 (CA)

Record details

NPI number1891241469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016

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