LISA JACOBS CLARK

RIVERSIDE, CA
NPI1891241469
Professional NameLISA JACOBS CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: CA  IMF69558)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
LISA JACOBS CLARK
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506
Phone number: 951-823-5134
Mailing Address
LISA JACOBS CLARK
6840 INDIANA AVE STE 275
RIVERSIDE, CA 92506-4279
Phone number: 951-778-0230
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