ANTIONETTE K CLARK
NPI 1588943161
Counselor - Mental Health in Vicksburg, MS
About Antionette K Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTIONETTE K CLARK (NPI 1588943161) is an individual mental health provider in Vicksburg, Mississippi and active in the NPI registry since August 2011.
NPPES Registry Identity
Specialties & Licenses
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.
VICKSBURG, MS 39180
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Antionette Clark's NPI number?
The NPI number for Antionette Clark is 1588943161. It was assigned to this individual provider in the NPPES registry on August 12, 2011.
Where is Antionette Clark located?
Antionette Clark practices at 3444 Wisconsin Ave, Vicksburg, MS 39180. The listed phone number is (601) 638-0031.
What is Antionette Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Antionette Clark was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
