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Thawanda R Clark
Counselor in New Orleans, Louisiana
NPI 1275003055

Thawanda R Clark is a Counselor based in Westwego, LA. Thawanda R Clark practices in New Orleans, LA. The NPI Number for Thawanda R Clark is 1275003055 and holds a License No. (Louisiana).

The current practice location address for Thawanda R Clark is 200 S Broad St, New Orleans, LA and can be reached out via phone at 504-301-3919.

Location: 200 S Broad St, New Orleans, LA, 70094-2160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275003055
Provider Name
Thawanda R Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 S Broad St, New Orleans, LA, 70094-2160
Phone Number
504-301-3919
Fax Number
Provider Enumeration Date
12/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 S Broad St
City
New Orleans
State
Louisiana
Zip
70119-6447
Phone Number
504-301-3919
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Broad St
City
New Orleans
State
Louisiana
Zip
70119-6447
Phone Number
504-301-3919
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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