Provider Demographics
NPI:1063088680
Name:NEWTON, CLARA (MS, PLPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:CLARA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MS, PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 MASON WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-6816
Mailing Address - Country:US
Mailing Address - Phone:601-540-7422
Mailing Address - Fax:
Practice Address - Street 1:505 COBBLESTONE CT STE A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-7570
Practice Address - Country:US
Practice Address - Phone:601-540-7422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP-0530101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health