Individual provider · Type 1 NPI
Jeanetta Clark
School Counselor · Tullahoma, TN
NPI number
1003298639
Active
Practice location
1803 N. Jackson St, Centerstone Of Tennessee
Tullahoma, TN 37388
Mailing address
3605 Chasewood Dr SW Apt 5
Huntsville, AL 35805-5180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor Primary | 101YS0200X | None listed |
School Counselor: Definition to come...
About NPI 1003298639
Jeanetta Clark's National Provider Identifier is 1003298639, issued on Jun 19, 2015. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Tullahoma, TN. The record was last updated on Jun 19, 2015.