Tawanda Clarke is a Counselor in Portage, Michigan. Tawanda Clarke practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tawanda Clarke is 1033398987. The last update date is 2021-08-31.
Tawanda Clarke's current location address is 609 Southland Ave, Portage, Michigan. You can contact this provider via phone number 2698086556 and fax number 0. The mailing address for Tawanda Clarke is 609 Southland Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tawanda Clarke |
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Address | 609 Southland Ave, Portage, Michigan |
Phone Number | 2698086556 |
Fax Number | 0 |
Sole Proprietor | N |
Credentials | M.A., LPC, |
NPI Number Detail
NPI Number | 1033398987 |
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Provider Enumeration Date | 2007-10-29 |
Last Updated Date | 2021-08-31 |
Provider Mailing Address Detail
Address | 609 Southland Ave |
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City | Portage |
State | Michigan (MI) |
Post Code | 490242753 |
Phone Number | 2698086556 |
Fax Number | 0 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code assigned to Tawanda Clarke by the Centers for Medicare & Medicaid Services?
The Tawanda Clarke has been issued the NPI (National Provider Identifier) 1033398987, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tawanda Clarke?
The Tawanda Clarke is physically situated at 609 Southland Ave, in the city of Portage, state of MI, with the postal code 490242753.
What is Tawanda Clarke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tawanda Clarke is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
When was the Tawanda Clarke's 1033398987 issued?
The Tawanda Clarke's 1033398987 was issued on 2007-10-29.
As of what date were the details pertaining to Tawanda Clarke last refreshed?
The information related to the Tawanda Clarke, including its address, specialty, and other relevant details, was last updated on 2021-08-31.