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Mrs. Sandra Denice Clark, EDS
School Counselor in Meridian, Mississippi
NPI 1205142106

Sandra Denice Clark is a School Counselor based in Meridian, MS and is specialized in School. Sandra Denice Clark practices in Meridian, MS and has the professional credentials of EDS. The NPI Number for Sandra Denice Clark is 1205142106 and holds a License No. 0804 (Mississippi).

The current practice location address for Sandra Denice Clark is 5701 N Hills St, Meridian, MS and can be reached out via phone at 601-581-7562 and via fax at 601-581-7676.

Location: 5701 N Hills St, Meridian, MS, 39304-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205142106
Provider Name
Sandra Denice Clark
Credential
EDS
Provider Entity Type
Individual
Gender
Female
Address
5701 N Hills St, Meridian, MS, 39304-4128
Phone Number
601-581-7562
Fax Number
601-581-7676
Provider Enumeration Date
08/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5701 N Hills St
City
Meridian
State
Mississippi
Zip
39307-2903
Phone Number
601-581-7562
Fax Number
601-581-7676
person
Provider Business Mailing Address Details
Address
5701 N Hills St
City
Meridian
State
Mississippi
Zip
39307-2903
Phone Number
601-581-7562
Fax Number
601-581-7676
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
168226 (Mississippi)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0804 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LH0061 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
0804 (Mississippi)
Definition
Definition to come...
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