Individual
AUTUMN ROSE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6095 BIG TEXAS VALLEY RD NW, ROME, GA 30165-9753
(619) 342-5933
Mailing address
6095 BIG TEXAS VALLEY RD NW, ROME, GA 30165-9753
(619) 342-5933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC010509
GA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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