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TINA CLARK LPC
NPI 1730327040
Counselor - Professional in Jefferson, NC

Active since January 23, 2009
221 WEST MAIN STREET, JEFFERSON, NC 28640(336) 246-4542 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Clark Lpc NPPES

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

TINA CLARK LPC (NPI 1730327040) is an individual professional provider in Jefferson, North Carolina, licensed in North Carolina (7279) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1730327040
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTINA CLARKCredential: LPC
Location Address221 WEST MAIN STREETJefferson, NC 28640-9723
Mailing Address221 West Main StreetJefferson, NC 28640-9723 · (336) 246-4542
Phone(336) 246-4542
Sole ProprietorNo
Enumeration DateJanuary 23, 2009
✔ NPI 1730327040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 7279
221 WEST MAIN STREET, Jefferson, NC 28640
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Other Providers at the Same Location NPPES 3

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

NEW RIVER SERVICE AUTHORITY
Community/Behavioral Health
221 WEST MAIN STREET
JEFFERSON, NC 28640
Ashe County (336) 246-4542
MR. LARRY RUSS TURBYFILL REGISTERED NURSE
Registered Nurse
221 WEST MAIN STREET
JEFFERSON, NC 28640
Ashe County (336) 246-4542
MS. ALISA A MORGAN LMFT
Marriage & Family Therapist
221 WEST MAIN STREET
JEFFERSON, NC 28640
Ashe County (336) 246-4542

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 Tina Clark's NPI number?

The NPI number for Tina Clark is 1730327040. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Tina Clark located?

Tina Clark practices at 221 West Main Street, Jefferson, NC 28640. The listed phone number is (336) 246-4542.

What is Tina Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tina Clark was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.