IndividualActive
Jeanetta Clark
NPI 1003298639 · School Counselor · Tullahoma, TN
Provider details
- NPI number
- 1003298639
- Entity type
- Individual
- Primary specialty
- School CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1803 N. Jackson St
Centerstone of Tennessee
Tullahoma, TN 37388
Phone: (615) 463-6643
Approximate (ZIP-level) locationGet directions
Mailing address
3605 Chasewood Dr Sw Apt 5
Huntsville, AL 35805-5180
Registry dates
- Enumerated
- 2015-06-19
- Last updated
- 2015-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.