Individual provider · Type 1 NPI

Sandra Denice Clark, ED.S

Professional Counselor · Meridian, MS

NPI number 1205142106 Active

Practice location

5701 N Hills St
Meridian, MS 39307-2903

Call (601) 581-7562 Map

Fax (601) 581-7676

Mailing address

PO Box 4128
Meridian, MS 39304-4128

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X0804 (MS)
Mental Health Counselor 101YM0800XLH0061 (MS)
Professional Counselor Primary 101YP2500X0804 (MS)
School Counselor 101YS0200X168226 (MS)

Professional Counselor: Definition to come...

5 other providers at this address

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About NPI 1205142106

Sandra Denice Clark, ED.S's National Provider Identifier is 1205142106, issued on Aug 30, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, MS. The record was last updated on Aug 31, 2010.