Jeanetta Clark, - Counselor in Tullahoma, TN

Jeanetta Clark, is a Counselor - School based in Tullahoma, Tennessee. Jeanetta Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is 1803 N. Jackson St, Centerstone Of Tennessee, Tullahoma, Tennessee. She can be reached at her office (for appointments etc.) via phone at (615) 463-6643.

NPI number for Jeanetta Clark is 1003298639 and her current mailing address is 3605 Chasewood Dr Sw Apt 5, Huntsville, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003298639.

Contact Information

Jeanetta Clark,
1803 N. Jackson St, Centerstone Of Tennessee,
Tullahoma, TN 37388
(615) 463-6643
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJeanetta Clark
GenderFemale
SpecialityCounselor - School
Location1803 N. Jackson St, Tullahoma, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003298639
  • Provider Enumeration Date: 06/19/2015
  • Last Update Date: 06/19/2015

Medical Identifiers

Medical identifiers for Jeanetta Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003298639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YS0200XCounselor - School (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanetta Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeanetta Clark,
3605 Chasewood Dr Sw Apt 5,
Huntsville, AL 35805-5180

Ph: (205) 427-6509
Jeanetta Clark,
1803 N. Jackson St, Centerstone Of Tennessee,
Tullahoma, TN 37388

Ph: (615) 463-6643

Reviews and Comments


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Miss Briana Nicole Cutliff,
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Medicare: Not Enrolled in Medicare
Practice Location: 1803 N Jackson St, Tullahoma, TN 37388
Phone: 931-461-1300    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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