Individual provider · Type 1 NPI

Reonee Shanta Clark

Counselor · Columbus, MS

NPI number 1780287797 Active

Practice location

2623 5th St N
Columbus, MS 39705-2009

Mailing address

860 E River Pl Ste 100
Jackson, MS 39202-3442

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 1780287797

Reonee Shanta Clark's National Provider Identifier is 1780287797, issued on Nov 20, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Columbus, MS. The record was last updated on Nov 20, 2020.