person
Angel Shannon Clark, MA
Counselor in Johnson City, Tennessee
NPI 1649394172

Angel Shannon Clark is a Counselor based in Gray, TN. Angel Shannon Clark practices in Johnson City, TN and has the professional credentials of MA. The NPI Number for Angel Shannon Clark is 1649394172 and holds a License No. (Tennessee).

The current practice location address for Angel Shannon Clark is 109 W Watauga Ave, Johnson City, TN and can be reached out via phone at 423-232-2600 and via fax at 423-232-2646. You can also correspond with Angel Shannon Clark through the mailing address at PO BOX 9054, GRAY, TN - 37615-9054 (mailing address contact number: 423-467-3600).

Location: 109 W Watauga Ave, Johnson City, TN, 37615-9054
person
Provider Profile Details
NPI Number
1649394172
Provider Name
Angel Shannon Clark
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
109 W Watauga Ave, Johnson City, TN, 37615-9054
Phone Number
423-232-2600
Fax Number
423-232-2646
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
109 W Watauga Ave
City
State
Zip
37604-5621
Phone Number
423-232-2600
Fax Number
423-232-2646
person
Provider Business Mailing Address Details
Address
Po Box 9054
City
State
Zip
37615-9054
Phone Number
423-467-3600
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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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