Individual
BRITTANY C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2400
Mailing address
107 GREENFIELD WAY, MADISON, MS 39110-8108
(601) 479-8669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2941
MS
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/15/2020
Last updated
03/15/2023
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