Individual provider · Type 1 NPI

Kimeyarus Lasha Clark

Counselor · Mccomb, MS

NPI number 1659764876 Active

Practice location

1701 White St
Mccomb, MS 39648-2711

Call (601) 249-4217 Map

Fax (601) 249-4234

Mailing address

150 Jefferson Davis Blvd
Natchez, MS 39120-5107

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1659764876

Kimeyarus Lasha Clark's National Provider Identifier is 1659764876, issued on Mar 12, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mccomb, MS. The record was last updated on Nov 22, 2024.