Jeanetta Clark
School Counselor
1803 N. Jackson St Centerstone Of Tennessee
Tullahoma
, Tennessee 37388
Jeanetta Clark
School Counselor
1803 N. Jackson St Centerstone Of Tennessee
Tullahoma
, Tennessee 37388
(205) 427-6509
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About
Features
Specialties
- School Counselor
Languages spoken
- English
Location
First Address
- Jeanetta Clark
- 3605 Chasewood Dr Sw Apt 5
- Huntsville, AL
- Zip : 35805-5180
- Phone : (205) 427-6509
Second Address
- Jeanetta Clark
- 1803 N. Jackson St Centerstone Of Tennessee
- Tullahoma, TN
- Zip : 37388
- Phone : (615) 463-6643
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YS0200X | School Counselor |
National Provider Identifier
| NPI | 1003298639 |
|---|---|
| Provider Name | Jeanetta Clark |
| First Address | Huntsville, AL 35805-5180 |
| Second Address | Tullahoma, TN 37388 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2015 |
| Last Update Date | 19/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.