Organization
CLARK COUNSELING & CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETHA JENNIFER CLARK PHD, LPC (OWNER)
(404) 550-0564
Entity
Organization
Contact information
Practice address
2386 CLOWER ST STE D-100, SNELLVILLE, GA 30078-6134
(404) 550-0564
(678) 344-2956
Mailing address
PO BOX 955, SNELLVILLE, GA 30078-0955
(404) 550-0564
(678) 344-2956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1658-R
GA
101YP2500X
Professional Counselor
Primary
004805
GA
Other
Enumeration date
09/16/2009
Last updated
02/23/2024
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