Individual provider · Type 1 NPI
Julian C. Clark
Professional Counselor · Lawrenceville, GA
NPI number
1194606723
Active
Practice location
1362 Benjamin Ct
Lawrenceville, GA 30043-6254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC015842 (GA) |
Professional Counselor: Definition to come...
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About NPI 1194606723
Julian C. Clark's National Provider Identifier is 1194606723, issued on Sep 10, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 10, 2025.