person
Jeronia Clark
Mental Health Counselor in Columbus, Mississippi
NPI 1124690334

Jeronia Clark is a Mental Health Counselor based in Starkville, MS and is specialized in Mental Health. Jeronia Clark practices in Columbus, MS. The NPI Number for Jeronia Clark is 1124690334 and holds a License No. (Mississippi).

The current practice location address for Jeronia Clark is 1001 Main St, Columbus, MS and can be reached out via phone at 662-328-9225 and via fax at 662-328-4735. You can also correspond with Jeronia Clark through the mailing address at 302 N JACKSON ST, STARKVILLE, MS - 39759-2504 (mailing address contact number: 166-252-4434).

Location: 1001 Main St, Columbus, MS, 39759-2504
person
Provider Profile Details
NPI Number
1124690334
Provider Name
Jeronia Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1001 Main St, Columbus, MS, 39759-2504
Phone Number
662-328-9225
Fax Number
662-328-4735
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124690334 05 MS
institution
Provider Business Practice Location Address Details
Address
1001 Main St
City
State
Zip
39701-4751
Phone Number
662-328-9225
Fax Number
662-328-4735
person
Provider Business Mailing Address Details
Address
1001 Main St
City
State
Zip
39701-4751
Phone Number
662-328-9225
Fax Number
662-328-4735
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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