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CHRISTOPHER CLARK
NPI 1306415666
Counselor - Mental Health in Brandon, MS

Active since June 22, 2021
613 MARQUETTE RD, BRANDON, MS 39042(601) 825-8800 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Christopher Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER CLARK (NPI 1306415666) is an individual mental health provider in Brandon, Mississippi and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1306415666
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTOPHER CLARK
Location Address613 MARQUETTE RDBrandon, MS 39042-3038
Mailing Address613 Marquette RdBrandon, MS 39042-3038 · (601) 825-8800
Phone(601) 825-8800
Sole ProprietorNo
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1306415666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
613 MARQUETTE RD, Brandon, MS 39042
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEN N LANDRY LMSW
Social Worker (Clinical)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342
CASEY A DITTUS LMSW
Social Worker (Clinical)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 284-0242
MIKE V. PATTI LPC
Counselor (Professional)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342
DR. ERIC JERMAINE WARREN M.D.
Psychiatry & Neurology (Psychiatry)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342
MELISSA BORDELON SHIELDS LPC
Counselor (Professional)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 825-8800
MITZI NICHOLS FLOYD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 825-8800
MS. BETHANY ERIN NEESE LPC
Counselor (Professional)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342
BRANDY NICOLE NEWSOME BYRD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342

Frequently Asked Questions

What is Christopher Clark's NPI number?

The NPI number assigned to this healthcare provider is 1306415666, enumerated as an "individual" on June 22, 2021.

Where is the provider located?

The provider is located at 613 MARQUETTE RD BRANDON, MS 39042 and the phone number is (601) 825-8800.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.