DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA L.C. CLARK LMHC, CCSOTS, TF-CBT

MEDICARE: JESSICA L.C. CLARK LMHC, CCSOTS, TF-CBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIMH 11318FL
2101YM0800XMental Health Counselor
3101YM0800XMental Health Counselor15397FL

General Provider Information

NPI Number : 1659628493
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA L.C. CLARK LMHC, CCSOTS, TF-CBT
Provider Business Mailing Address
First Line : 396 WASHINGTON ST # 266
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-6209
Country : US
Telephone Number : 855-438-8331
Fax Number :
Provider Business Practice Location Address
First Line : 396 WASHINGTON ST # 266
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-6209
Country : US
Telephone Number : 855-438-8331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2012
Last Update Date : 06/12/2024

Similar Medicare Providers

1538629969 — INGRID KIEHL
Practice Location Address:
396 WASHINGTON ST # 266
WELLESLEY HILLS, MA
02481-6209
Practice Phone: 855-438-8331
Practice Fax:
1235113010 — DR. MONA PATEL POTTER MD
Practice Location Address:
396 WASHINGTON ST # 266
WELLESLEY HILLS, MA
02481-6209
Practice Phone: 855-438-8331
Practice Fax: 617-928-8649
1114190097 — DR. DANA B SARVEY MD
Practice Location Address:
396 WASHINGTON STREET , #266
WELLESLEY HILLS, MA
02481-6209
Practice Phone: 855-438-8331
Practice Fax: 617-928-8649
1376890277 — DR. DANIEL IAN GITTINS STONE PHD
Practice Location Address:
396 WASHINGTON ST # 266
WELLESLEY HILLS, MA
02481-6209
Practice Phone: 855-438-8331
Practice Fax:
1881027829 — LAUREN BLAUSTEIN M.A.
Practice Location Address:
396 WASHINGTON ST # 266
WELLESLEY HILLS, MA
02481-6209
Practice Phone: 855-438-8331
Practice Fax:
1457751919 — MS. LINDSEY SHERER LCSW
Practice Location Address:
396 WASHINGTON ST # 266
WELLESLEY HILLS, MA
02481-6209
Practice Phone: 301-424-5200
Practice Fax:

Directions to “ JESSICA L.C. CLARK LMHC, CCSOTS, TF-CBT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.