Individual
ARDRIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
305 HAYDEN WAY, THOMASVILLE, GA 31792-0316
(229) 403-7047
(229) 236-1869
Mailing address
305 HAYDEN WAY, THOMASVILLE, GA 31792-0316
(229) 403-7047
(229) 236-1869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518350743
—
GA
Enumeration date
03/12/2015
Last updated
12/16/2022
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