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JESSICA LEANN CLARK
NPI 1508621160
Counselor - Addiction (Substance Use Disorder) in Flint, MI

Active since February 13, 2024
504 N GRAND TRAVERSE ST, FLINT, MI 48503(810) 487-4676(810) 496-4295 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Leann Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LEANN CLARK (NPI 1508621160) is an individual addiction (substance use disorder) provider in Flint, Michigan and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1508621160
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA LEANN CLARK
Location Address504 N GRAND TRAVERSE STFlint, MI 48503-2536
Mailing Address5099 W Farrand RdClio, MI 48420-8215 · (586) 491-1057
Phone(810) 487-4676
Fax(810) 496-4295
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1508621160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
504 N GRAND TRAVERSE ST, Flint, MI 48503
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY-CHRISTIAN RYAN HERWIG-TUCKER
Technician
504 N GRAND TRAVERSE ST
FLINT, MI 48503
Genesee County (810) 487-4295
GREAT LAKES RECOVERY MISSION, LLC
Substance Abuse Rehabilitation Facility
504 N GRAND TRAVERSE ST
FLINT, MI 48503
Genesee County (586) 491-1057
MANUEL ANDREW RODRIGUEZ
Peer Specialist
504 N GRAND TRAVERSE ST
FLINT, MI 48503
Genesee County (586) 491-1057
LYDIA M HEINE
Counselor (Addiction (Substance Use Disorder))
504 N GRAND TRAVERSE ST
FLINT, MI 48503
Genesee County (586) 491-1057
CHRISTOPHER BOWEN
Counselor (Addiction (Substance Use Disorder))
504 N GRAND TRAVERSE ST
FLINT, MI 48503
Genesee County (810) 487-4676
MR. TODD ERNEST FOWLER CPRC
Counselor (Addiction (Substance Use Disorder))
504 N GRAND TRAVERSE ST
FLINT, MI 48503
Genesee County (586) 491-1057
AMANDA QUINN
Counselor (Addiction (Substance Use Disorder))
504 N GRAND TRAVERSE ST
FLINT, MI 48503
Genesee County (810) 487-4676
KIAH SUE-ANN WATTERS
Counselor (Addiction (Substance Use Disorder))
504 N GRAND TRAVERSE ST
FLINT, MI 48503
Genesee County (810) 487-4676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1508621160. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Jessica Clark located?

Jessica Clark practices at 504 N Grand Traverse St, Flint, MI 48503. The listed phone number is (810) 487-4676.

What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.