Individual
MRS. LECRETIA WILLIAMS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
2705 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 449-1971
(662) 449-1974
Mailing address
303 N MADISON ST, CORINTH, MS 38834-5072
(662) 286-9883
(662) 284-9836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3389
MS
Other
Enumeration date
04/10/2015
Last updated
09/02/2016
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