Individual provider · Type 1 NPI
Tanja Supon-Clause, MA LPC
Professional Counselor · Guyton, GA
NPI number
1639638703
Active
Practice location
109 Cotton Bluff Ct
Guyton, GA 31312-7540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC010837 (GA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Guyton
About NPI 1639638703
Tanja Supon-Clause, MA LPC's National Provider Identifier is 1639638703, issued on Mar 18, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Guyton, GA. The record was last updated on Nov 17, 2023.