Individual provider · Type 1 NPI

Christy C. Clark, M.A.ED

Mental Health Counselor · Marietta, GA

NPI number 1326136995 Active

Practice location

1640 Powers Ferry Rd SE, Building 9, Suite 100
Marietta, GA 30067-5491

Fax (770) 953-0031

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPC001027 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1326136995

Christy C. Clark, M.A.ED's National Provider Identifier is 1326136995, issued on Oct 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Jul 8, 2007.