Individual provider · Type 1 NPI

Avis Clemons

Mental Health Counselor · Stone Mountain, GA

NPI number 1730428236 Active

Practice location

5300 Memorial Dr, Suite 224A
Stone Mountain, GA 30083-3148

Fax (770) 908-2462

Mailing address

5720 Wyndemere Ln
Stone Mountain, GA 30087-2525

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730428236

Avis Clemons's National Provider Identifier is 1730428236, issued on Feb 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stone Mountain, GA. The record was last updated on Feb 5, 2013.