person
Tavaraes Lashun Clark JR.
Counselor in Columbus, Mississippi
NPI 1659839876

Tavaraes Lashun Clark JR. is a Counselor based in Jackson, MS. Tavaraes Lashun Clark JR. practices in Columbus, MS. The NPI Number for Tavaraes Lashun Clark JR. is 1659839876 and holds a License No. (Mississippi).

The current practice location address for Tavaraes Lashun Clark JR. is 428 24Th Ave N, Columbus, MS and can be reached out via phone at 662-241-7097.

Location: 428 24Th Ave N, Columbus, MS, 39202-3442
person
Provider Profile Details
NPI Number
1659839876
Provider Name
Tavaraes Lashun Clark JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
428 24Th Ave N, Columbus, MS, 39202-3442
Phone Number
662-241-7097
Fax Number
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
428 24Th Ave N
City
State
Zip
39705-1945
Phone Number
662-241-7097
Fax Number
person
Provider Business Mailing Address Details
Address
428 24Th Ave N
City
State
Zip
39705-1945
Phone Number
662-241-7097
Fax Number
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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