Individual ProviderTonette ClarkCounselorBehavioral Health & Social Service ProvidersPractice Address280 Jackson Rd, Atco, NJ 08004-1645(856) 767-5757PECOS EnrollmentBased on the most recent information from CMS, provider Tonette Clark does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154690915Provider TypeIndividualFull NameClark, TonetteGenderFemaleSole ProprietorNoEnumeration Date12/23/2011Last Updated12/23/2011Contact InformationPractice LocationPractice Address280 Jackson Rd, Atco, NJ 08004-1645Phone(856) 767-5757FaxUnlisted FaxMailing LocationMailing Address280 Jackson Rd, Atco, NJ 08004-1645Phone(856) 767-5757FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer