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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174088629

Tynisha Clarke is an Addiction (Substance Use Disorder) Counselor in Manchester, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

149 10th Ave
Manchester, NJ 08759-5653
Phone: (732) 575-6770
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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 · Licence 37PC00959500 (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 37LC00374800 (NJ)

Record details

NPI number1174088629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 8, 2019
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address149 10th Ave, Manchester, NJ 08759-5653

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