Individual provider · Type 1 NPI

L Clark

Counselor · Woodstock, GA

NPI number 1235285495 Active

Practice location

405 Creekstone Rdg
Woodstock, GA 30188-3746

Mailing address

5101 Old Highway 5 Unit 503
Lebanon, GA 30146-0817

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1235285495

L Clark's National Provider Identifier is 1235285495, issued on Jan 28, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Woodstock, GA. The record was last updated on Mar 17, 2023.