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

TaxonomyCodeLicense
Counselor Primary 101Y00000XMSW012251 (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.

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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.