Clarke, Tawanda

Clarke, Tawanda is an individual health care provider with primary practice located at 609 Southland Ave , Portage MI 49024-2753. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Clarke, Tawanda can be contacted via phone (269) 808-6556.

Contact Information

Primary practice address
609 Southland Ave Portage MI 49024-2753
Phone: (269) 808-6556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1033398987
LBN Legal business name Clarke, Tawanda
Credentials M.A., LPC, CAADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Aug 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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