Individual provider · Type 1 NPI

Samuel Clark Cutler Iv, LPC

Professional Counselor · Bogart, GA

NPI number 1104600253 Active

Practice location

1621 Oconee Crossing Cir
Bogart, GA 30622-4583

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC011624 (GA)

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About NPI 1104600253

Samuel Clark Cutler Iv, LPC's National Provider Identifier is 1104600253, issued on Aug 21, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bogart, GA. The record was last updated on Aug 21, 2023.