Individual provider · Type 1 NPI

Wanda Mae Clark

Mental Health Counselor · Atlanta, GA

NPI number 1376866301 Active

Practice location

3424 Peachtree Rd NE Ste 2200
Atlanta, GA 30326-1156

Call (323) 205-7088 Map

Fax (833) 419-0181

Mailing address

284 Executive Park Dr, Suite 100
Concord, NC 28025-1831

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X13049691-6004 (UT)
Professional Counselor 101YP2500XLPC012942 (GA)
Mental Health Counselor Primary 101YM0800X12159 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1376866301

Wanda Mae Clark's National Provider Identifier is 1376866301, issued on Mar 4, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Mar 12, 2026.