Harris-Clark, Jazzmine

Harris-Clark, Jazzmine is an individual health care provider with primary practice located at 1841 E Main St , Barstow CA 92311-3234. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Harris-Clark, Jazzmine can be contacted via phone (760) 255-5700.

Contact Information

Primary practice address
1841 E Main St Barstow CA 92311-3234
Phone: (760) 255-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1093365512
LBN Legal business name Harris-Clark, Jazzmine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Nov 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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