| Jenclark, Llc | |
|
4121 Union Rd Ste 225 Saint Louis MO 63129-1093 | |
| (314) 730-6787 | |
| Not Available |
| Full Name | Jenclark, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4121 Union Rd Ste 225, Saint Louis, Missouri |
| Authorized Official Name and Position | Jennifer Clark Penney (OWNER/COUNSELOR/THERAPIST) |
| Authorized Official Contact | 3146044050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenclark, Llc 17035 Sandalwood Creek Dr Wildwood MO 63038-1541 Ph: (314) 604-4050 | Jenclark, Llc 4121 Union Rd Ste 225 Saint Louis MO 63129-1093 Ph: (314) 730-6787 |
| NPI Number | 1841048345 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841048345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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