Individual provider · Type 1 NPI

Kimberly Deyonne Clark, CMHT

Mental Health Counselor · Meridian, MS

NPI number 1407544604 Active

Practice location

2803 Old North Hills St
Meridian, MS 39305-1630

Call (601) 435-2919 Map

Fax (601) 286-5054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407544604

Kimberly Deyonne Clark, CMHT's National Provider Identifier is 1407544604, issued on Apr 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Meridian, MS. The record was last updated on Apr 26, 2023.