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JESSICA CLARK
NPI 1558034942
Counselor in Ilwaco, WA

Active since July 30, 2021
152 FIRST AVE N, ILWACO, WA 98624(503) 960-5098 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Clark NPPES

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

JESSICA CLARK (NPI 1558034942) is an individual counselor in Ilwaco, Washington and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1558034942
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA CLARK
Location Address152 FIRST AVE NIlwaco, WA 98624
Mailing Address5 N Highway 101 # 188Warrenton, OR 97146-9313
Phone(503) 960-5098
Sole ProprietorYes
Enumeration DateJuly 30, 2021
NPPES CertifiedJuly 30, 2021
✔ NPI 1558034942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
152 FIRST AVE N, Ilwaco, WA 98624
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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 1558034942. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Jessica Clark located?

Jessica Clark practices at 152 First Ave N, Ilwaco, WA 98624. The listed phone number is (503) 960-5098.

What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.