Dejane Clark, LAPC is a
Counselor - Mental Health based in Red Oak, Georgia. Dejane Clark is licensed to practice in Georgia (license number APC009814) and her current practice location is
3435 Roosevelt Hwy Unit 1083, Red Oak, Georgia. She can be reached at her office (for appointments etc.) via phone at
(253) 579-4373.
NPI number for Dejane Clark is 1801625207 and her current mailing address is 3435 Roosevelt Hwy Unit 1083, Red Oak, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801625207.
Healthcare Provider's Profile
Full Name | Dejane Clark |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 3435 Roosevelt Hwy Unit 1083, Red Oak, Georgia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801625207
- Provider Enumeration Date: 08/01/2024
- Last Update Date: 08/01/2024
Medical Identifiers
Medical identifiers for Dejane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801625207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | APC009814 (Georgia) | 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. Dejane 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 Address | Practice Location Address |
Dejane Clark, LAPC 3435 Roosevelt Hwy Unit 1083, Red Oak, GA 30272-2364 Ph: (253) 579-4373 | Dejane Clark, LAPC 3435 Roosevelt Hwy Unit 1083, Red Oak, GA 30272-2364 Ph: (253) 579-4373 |
Reviews and Comments