Individual provider · Type 1 NPI

Jackie Tanna, MA

Mental Health Counselor · Clarksdale, MS

NPI number 1649594029 Active

Practice location

1742 Cheryl St
Clarksdale, MS 38614-7218

Call (662) 627-7267 Map

Fax (662) 627-5240

Mailing address

PO Box 1046
Clarksdale, MS 38614-1046

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649594029

Jackie Tanna, MA's National Provider Identifier is 1649594029, issued on Mar 15, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clarksdale, MS. The record was last updated on Mar 15, 2010.