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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGEL SHANNON CLARK, MA

Active

ANGEL SHANNON CLARK, MA is a Counselor healthcare provider located in JOHNSON CITY, Tennessee. NPI 1649394172 is currently active in the NPPES registry. Verify at CMS.

Counselor · JOHNSON CITY, TN

Registration Details

NPI Number
1649394172
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2007 (19.401697776196 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
109 W WATAUGA AVE
JOHNSON CITY, TN, 376045621
Browse TN providers · Browse ZIP 37604
Phone
4232322600
Fax
4232322646
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in JOHNSON CITY, TN

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.