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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Columbus
State
Mississippi
Zip
39705-1945
Phone Number
662-241-7097
Fax Number
person
Provider Business Mailing Address Details
Address
428 24Th Ave N
City
Columbus
State
Mississippi
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
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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