person
Ms. Tanya Delorise Clark
Counselor in Detroit, Michigan
NPI 1144575812

Tanya Delorise Clark is a Counselor based in Detroit, MI. Tanya Delorise Clark practices in Detroit, MI. The NPI Number for Tanya Delorise Clark is 1144575812 and holds a License No. 6451018990 (Michigan).

The current practice location address for Tanya Delorise Clark is 707 W Milwaukee St, Detroit, MI and can be reached out via phone at 313-344-9099.

Location: 707 W Milwaukee St, Detroit, MI, 48201-1988
person
Provider Profile Details
NPI Number
1144575812
Provider Name
Tanya Delorise Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
707 W Milwaukee St, Detroit, MI, 48201-1988
Phone Number
313-344-9099
Fax Number
Provider Enumeration Date
07/19/2012
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
707 W Milwaukee St
City
State
Zip
48202-2943
Phone Number
313-344-9099
Fax Number
person
Provider Business Mailing Address Details
Address
707 W Milwaukee St
City
State
Zip
48202-2943
Phone Number
313-344-9099
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
6451018990 (Michigan)
Definition
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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