Most Relevant Information
Provider Data
| NPI Number: | 1003536632 |
| Provider Name: | AMY JENNINGS CLARK LMHCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/01/2022 |
| Last Updated: | 09/01/2022 |
Provider Practice Location
1407 9TH AVE W APT E
SEATTLE
WA
981193260
Practice Location Phone/Fax
| Phone: | 2064504231 |
| Fax: |
Provider Mailing Location
1407 9TH AVE W APT E
SEATTLE
WA
981193260
Provider Mailing Phone/Fax
| Phone: | 2064504231 |
| Fax: |