Antionette K Clark
Antionette K Clark is a Mental Health Counselor in Vicksburg, Mississippi. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
3444 Wisconsin AveVicksburg, MS 39180-5331
Phone: (601) 638-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1588943161 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 12, 2011 |
| Last updated in NPPES | August 12, 2011 |
| Mailing address | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 |
Other providers in Vicksburg
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Delesha Danielle Butler
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Katrina M Butler, LMSW
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Barbara Carter
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Tamberline Chiplin II
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Robin Clark, PCMHT
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Linda Coats
3444 Wisconsin Ave, Vicksburg, MS 39180-5331 · (601) 638-0031
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Aviance Lasheena Cogg
3444 Wisconsin Ave, Vicksburg, MS 39180-5331 · (601) 638-0031
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Alice Tiffany Cohea, LSW
3444 Wisconsin Ave, Vicksburg, MS 39180-5331 · (601) 638-0031