| Lesley A Clack, LPC | |
|
334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | |
| (229) 386-3494 | |
| (229) 386-3221 |
| Full Name | Lesley A Clack |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 334 Tifton Eldorado Rd, Tifton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932243292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LAPC1190 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC005021 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lesley A Clack, LPC 334 Tifton Eldorado Rd, P. O. Box 1448, Tifton, GA 31794-9497 Ph: (229) 386-3494 | Lesley A Clack, LPC 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 Ph: (229) 386-3494 |
Leanette S Roberson, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1603 Mallard Lane, Tifton, GA 31793 Phone: 229-386-2976 | |
Thomas Maurice Hobby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2402 Tift Ave N Ste 202, Tifton, GA 31794 Phone: 229-382-7898 Fax: 229-386-5818 | |
Ena Melton-myers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2301 Fax: 229-386-3991 | |
Mrs. Jaime Ruth Rycroft, CADCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 2402 Tift Ave N Ste 202, Tifton, GA 31794 Phone: 229-382-7898 Fax: 229-386-5818 | |
Mrs. Holly Elizabeth Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2301 Fax: 229-386-3221 | |
Virginia Caroline Hogan, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 2nd St E Ste B, Tifton, GA 31794 Phone: 229-339-3721 Fax: 229-472-9151 | |
Davina G Samuel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2300 Fax: 229-386-3221 |