Individual
DIANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAT
Contact information
Practice address
8900 DELTA BLUFF CV, WALLS, MS 38680-4400
(870) 588-7249
Mailing address
8272 WOLFCHASE LN APT 203, CORDOVA, TN 38016-2000
(870) 588-7249
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MS
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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