| Clark Counseling & Consulting, Inc. | |
|
2386 Clower St Ste D-100 Snellville GA 30078-6134 | |
| (404) 550-0564 | |
| (678) 344-2956 |
| Full Name | Clark Counseling & Consulting, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2386 Clower St Ste D-100, Snellville, Georgia |
| Authorized Official Name and Position | Aletha Jennifer Clark (OWNER) |
| Authorized Official Contact | 4045500564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Counseling & Consulting, Inc. Po Box 955 Snellville GA 30078-0955 Ph: (404) 550-0564 | Clark Counseling & Consulting, Inc. 2386 Clower St Ste D-100 Snellville GA 30078-6134 Ph: (404) 550-0564 |
| NPI Number | 1215260666 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215260666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1658-R (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | 004805 (Georgia) | Primary |
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