Individual provider · Type 1 NPI
Erica Clark, LPC
Professional Counselor · Fayetteville, GA
NPI number
1598470577
Active
Practice location
455 Dix Lee On Dr Ste 1110
Fayetteville, GA 30214-3013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC012152 (GA) |
Professional Counselor: Definition to come...
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About NPI 1598470577
Erica Clark, LPC's National Provider Identifier is 1598470577, issued on Jan 13, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, GA. The record was last updated on Jan 13, 2023.