Amanda Clark
Amanda Clark is a Counselor in McComb, Mississippi. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1701 White StMcComb, MS 39648-2711
Phone: (601) 249-4218
Fax: (601) 249-4234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1003449976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 19, 2020 |
| Last updated in NPPES | February 19, 2020 |
| Certification date | February 19, 2020 |
| Mailing address | 1701 White St, McComb, MS 39648-2711 |
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