Healthcare Provider Details

I. General information

NPI: 1831009885
Provider Name (Legal Business Name): JSPC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 LARKSPUR LN STE 100
REDDING CA
96002-0629
US

IV. Provider business mailing address

2195 LARKSPUR LN STE 100
REDDING CA
96002-0629
US

V. Phone/Fax

Practice location:
  • Phone: 530-338-0087
  • Fax: 530-710-1941
Mailing address:
  • Phone: 530-338-0087
  • Fax: 530-710-1941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JILL PIERCY CLARK
Title or Position: CEO
Credential: LMFT
Phone: 530-338-4660