Individual
DR. LASHUNDRA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 HIGHWAY 80 E, CLINTON, MS 39056-4717
(601) 488-4852
(601) 488-4091
Mailing address
315 HIGHWAY 80 E, CLINTON, MS 39056-4717
(601) 488-4852
(601) 488-4091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2384
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07578542
—
MS
Enumeration date
01/06/2015
Last updated
12/29/2020
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