Clem, Jaclyn
Clem, Jaclyn is an individual health care provider with primary practice located at 10680 Se 160Th Court Rd , Ocklawaha FL 32179-5580. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clem, Jaclyn can be contacted via phone (352) 288-8905.Contact Information
Primary practice address
10680 Se 160Th Court Rd
Ocklawaha FL 32179-5580
Phone: (352) 288-8905
Fax: (352) 360-6582
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | MH 3704 | Florida |
Behavioral Health & Social Service Providers / Family | 103TF0000X | MT 1548 | Florida |
Profile Details
NPI number | 1255393724 |
---|---|
LBN Legal business name | Clem, Jaclyn |
Credentials | LMHC, LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Jul 9th, 2007 - about 17 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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