Individual provider · Type 1 NPI

Tanya Delorise Clark

Counselor · Detroit, MI

NPI number 1144575812 Active

Practice location

707 W Milwaukee St
Detroit, MI 48202-2943

Call (313) 344-9099 Map

Mailing address

119 Garfield St Apt 405
Detroit, MI 48201-1988

Other practice locations

  • 20300 Superior Rd Ste 250, Taylor, MI 48180-6342 · (734) 785-7000

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6451018990 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144575812

Tanya Delorise Clark's National Provider Identifier is 1144575812, issued on Jul 19, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 21, 2024.