Clarke, Jodi Eleanor

Clarke, Jodi Eleanor is an sole proprietor health care provider with primary practice located at 9111 Cross Park Dr Building D, Suite 200, Knoxville TN 37923-4506. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clarke, Jodi Eleanor can be contacted via phone (865) 384-2172.

Contact Information

Primary practice address
9111 Cross Park Dr Building D, Suite 200 Knoxville TN 37923-4506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8550 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC 2392 Tennessee

Profile Details

NPI number 1114989704
LBN Legal business name Clarke, Jodi Eleanor
Credentials MA, LPC/MHSP, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Apr 22nd, 2010 - about 14 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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