Individual provider · Type 1 NPI

Rani Katrina Clark

Mental Health Counselor · Conyers, GA

NPI number 1215409586 Active

Practice location

977A Taylor St SW
Conyers, GA 30012-5357

Fax (678) 212-6309

Mailing address

3228 Kings Bay Cir
Decatur, GA 30034-7123

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215409586

Rani Katrina Clark's National Provider Identifier is 1215409586, issued on Dec 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conyers, GA. The record was last updated on Dec 26, 2018.