Individual provider · Type 1 NPI

Brittany C. Clark

Mental Health Counselor · Jackson, MS

NPI number 1902404460 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Mailing address

107 Greenfield Way
Madison, MS 39110-8108

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X2941 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1902404460

Brittany C. Clark's National Provider Identifier is 1902404460, issued on Oct 15, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Mar 15, 2023.