Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angel Shannon Clark, MA

Individual provider Counselor · NPI 1649394172

Angel Shannon Clark, MA is a Counselor in Johnson City, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

109 W Watauga Ave
Johnson City, TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 232-2646
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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 number1649394172
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007

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