JACOB CLARK PSYCHOTHERAPY GROUP

MIDLOTHIAN, VA
NPI1487535373
Entity TypeOrganization
Authorized ContactJAMES JACOB CLARK
President/Practice Owner
571-206-8137
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-09-09
Last Update Date2025-09-09
Business Address
JACOB CLARK PSYCHOTHERAPY GROUP
12351 DUTTON RD APT 1418
MIDLOTHIAN, VA 23113-4415
Phone number: 571-206-8137
Mailing Address
JACOB CLARK PSYCHOTHERAPY GROUP
14319 SHELTER COVE RD
MIDLOTHIAN, VA 23112-2240
Phone number: 571-206-8137
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