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: |