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
Phone: (865) 384-2172
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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