Individual provider · Type 1 NPI

Lesley A. Clack, LPC

Professional Counselor · Tifton, GA

NPI number 1932243292 Active

Practice location

334 Tifton Eldorado Rd
Tifton, GA 31794-9497

Fax (229) 386-3221

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLAPC1190 (GA)
Professional Counselor Primary 101YP2500XLPC005021 (GA)

Professional Counselor: Definition to come...

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About NPI 1932243292

Lesley A. Clack, LPC's National Provider Identifier is 1932243292, issued on Feb 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tifton, GA. The record was last updated on Feb 8, 2008.