| Clear Life Counseling & Testing | |
|
5830 Bond St Ste 300 Cumming GA 30040-0312 | |
| (469) 525-9670 | |
| Not Available |
| Full Name | Clear Life Counseling & Testing |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5830 Bond St Ste 300, Cumming, Georgia |
| Authorized Official Name and Position | Kyrstin Jimenez (CEO) |
| Authorized Official Contact | 4695259670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Life Counseling & Testing 5830 Bond St Ste 300 Cumming GA 30040-0312 Ph: () - | Clear Life Counseling & Testing 5830 Bond St Ste 300 Cumming GA 30040-0312 Ph: (469) 525-9670 |
| NPI Number | 1396316469 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396316469 | NPI | - | NPPES |
| 1780929422 | Other | TX | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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