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Malynda Clark
Mental Health Counselor in Chattanooga, Tennessee
NPI 1093118390

Malynda Clark is a Mental Health Counselor based in Chattanooga, TN and is specialized in Mental Health. Malynda Clark practices in Chattanooga, TN. The NPI Number for Malynda Clark is 1093118390 and holds a License No. (Tennessee).

The current practice location address for Malynda Clark is 6236 Airpark Dr Ste A, Chattanooga, TN and can be reached out via phone at 423-954-8867.

Location: 6236 Airpark Dr Ste A, Chattanooga, TN, 37421-2988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093118390
Provider Name
Malynda Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
6236 Airpark Dr Ste A, Chattanooga, TN, 37421-2988
Phone Number
423-954-8867
Fax Number
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790731081 05 KY
institution
Provider Business Practice Location Address Details
Address
6236 Airpark Dr Ste A
City
Chattanooga
State
Tennessee
Zip
37421-2988
Phone Number
423-954-8867
Fax Number
person
Provider Business Mailing Address Details
Address
6236 Airpark Dr Ste A
City
Chattanooga
State
Tennessee
Zip
37421-2988
Phone Number
423-954-8867
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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