NPI 1003298639

Jeanetta Clark

Practitioner School Counselor Tullahoma, TN

Practice location

Address: 1803 N. Jackson St Centerstone of Tennessee, Tullahoma, TN 37388
Phone: (615) 463-6643
Mailing address: 3605 Chasewood Dr SW APT 5, Huntsville, AL 35805-5180

Registered specialties

School Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YS0200X

Other Counselor providers in Tennessee →

Registry record

NPI: 1003298639
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2015
Record last updated: 19 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.