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Contact Information

CLARK COUNSELING & CONSULTING, INC.
2386 CLOWER ST STE D-100
SNELLVILLE, GA30078-6134
 Phone: 404-550-0564
 Fax: 678-344-2956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CLARK COUNSELING CONSULTING INC · (Female)

NPI Number 1215260666
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2009
Last updated 02/23/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 004805
  • GA License # 1658-R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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