Stacy Ann Clark
Stacy Ann Clark is a Mental Health Counselor in Jackson, Mississippi. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
460 Briarwood Dr Ste 510Jackson, MS 39206-3057
Phone: (601) 956-4816
Fax: (601) 956-4817
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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 | 1669012647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 8, 2020 |
| Last updated in NPPES | January 8, 2020 |
| Certification date | January 8, 2020 |
| Mailing address | 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 |
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