Mr Taj Jamal Clark, LCDC - Counselor in Pasadena, TX

Mr Taj Jamal Clark, LCDC is a Counselor - Addiction (substance Use Disorder) based in Pasadena, Texas. Mr Taj Jamal Clark is licensed to practice in Texas (license number 9946) and his current practice location is 3130 Strawberry Rd, Suite C, Pasadena, Texas. He can be reached at his office (for appointments etc.) via phone at (832) 984-1868.

NPI number for Mr Taj Jamal Clark is 1831308428 and his current mailing address is 3130 Strawberry Rd, Suite C, Pasadena, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831308428.

Contact Information

Mr Taj Jamal Clark, LCDC
3130 Strawberry Rd, Suite C,
Pasadena, TX 77504-1767
(832) 984-1868
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Taj Jamal Clark
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3130 Strawberry Rd, Pasadena, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831308428
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 05/11/2011

Medical Identifiers

Medical identifiers for Mr Taj Jamal Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831308428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 9946 (Texas)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. Mr Taj Jamal 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
Mr Taj Jamal Clark, LCDC
3130 Strawberry Rd, Suite C,
Pasadena, TX 77504-1767

Ph: (832) 984-1868
Mr Taj Jamal Clark, LCDC
3130 Strawberry Rd, Suite C,
Pasadena, TX 77504-1767

Ph: (832) 984-1868

Reviews and Comments


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