Individual provider · Type 1 NPI

Kaitlyn Mary Clark, LPC

Professional Counselor · Tucker, GA

NPI number 1457725095 Active

Practice location

3760 Lavista Rd Ste 102
Tucker, GA 30084-5622

Call (770) 375-8124 Map

Fax (770) 559-5543

Other practice locations

  • 1370 Center Dr Ste 205, Atlanta, GA 30338-4132 · (770) 375-8124

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XLPC012288 (GA)

Professional Counselor: Definition to come...

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Other professional counselor providers in Tucker

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About NPI 1457725095

Kaitlyn Mary Clark, LPC's National Provider Identifier is 1457725095, issued on Nov 19, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tucker, GA. The record was last updated on Sep 6, 2022.