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Ms. Tanya Delorise Clark
Counselor in Farmington Hills, Michigan
NPI 1144575812

Tanya Delorise Clark is a Counselor based in Detroit, MI. Tanya Delorise Clark practices in Farmington Hills, 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 30301 Northwestern Hwy Ste 100, Farmington Hills, MI and can be reached out via phone at 248-837-2022. You can also correspond with Tanya Delorise Clark through the mailing address at 5440 CASS AVE APT 1006, DETROIT, MI - 48202-3683 (mailing address contact number: 813-447-1935).

Location: 30301 Northwestern Hwy Ste 100, Farmington Hills, MI, 48202-3683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144575812
Provider Name
Tanya Delorise Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
30301 Northwestern Hwy Ste 100, Farmington Hills, MI, 48202-3683
Phone Number
248-837-2022
Fax Number
Provider Enumeration Date
07/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30301 Northwestern Hwy Ste 100
City
Farmington Hills
State
Michigan
Zip
48334-3277
Phone Number
248-837-2022
Fax Number
person
Provider Business Mailing Address Details
Address
5440 Cass Ave Apt 1006
City
Detroit
State
Michigan
Zip
48202-3683
Phone Number
813-447-1935
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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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