Individual
JANELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 ROSWELL RD UNIT C, ATLANTA, GA 30342-2639
(678) 744-7347
Mailing address
3410 ALEXANDER RD NE UNIT 415, ATLANTA, GA 30326-4250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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