Individual provider · Type 1 NPI

Jenise Trannell Clark, LPC

Counselor · Fayetteville, GA

NPI number 1851880926 Active

Practice location

715 Bradley Dr
Fayetteville, GA 30214-2030

Mailing address

3777 Waldrop Ln
Decatur, GA 30034-6786

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Counselor Primary 101Y00000XNone listed

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 1851880926

Jenise Trannell Clark, LPC's National Provider Identifier is 1851880926, issued on May 4, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 22, 2021.