Individual provider · Type 1 NPI
Jalisa Conklin, LMSW
Counselor · Decatur, GA
NPI number
1780470369
Active
Practice location
3100 Clifton Springs Rd
Decatur, GA 30034-4606
Mailing address
445 Winn Way
Decatur, GA 30030-1707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | MSW012251 (GA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
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- Jennifer Coffee Duncan, LPCCounselor Decatur, GA NPI 1093863524
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- Brooks Byrd Kolberg, MSCounselor Decatur, GA NPI 1124629803
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About NPI 1780470369
Jalisa Conklin, LMSW's National Provider Identifier is 1780470369, issued on Apr 18, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Decatur, GA. The record was last updated on Apr 18, 2025.