IndividualActive
Jay Clark
NPI 1851083000 · Pastoral Counselor · Fargo, ND
Provider details
- NPI number
- 1851083000
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2479 (NC)
Mailing address
7234 29th St S
Fargo, ND 58104
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2024-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.