Individual provider · Type 1 NPI
Clutese Clark
Professional Counselor · Atlanta, GA
NPI number
1972392546
Active
Practice location
50 Lenox Pointe NE
Atlanta, GA 30324-3102
Mailing address
904 Melissa Belle Ct
Ellenwood, GA 30294-4537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC014565 (GA) |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1972392546
Clutese Clark's National Provider Identifier is 1972392546, issued on May 1, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on May 1, 2025.