Individual
DR. ERICA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
455 DIX LEE ON DR STE 1110, FAYETTEVILLE, GA 30214-3013
(404) 623-8955
Mailing address
455 DIX LEE ON DR STE 1110, FAYETTEVILLE, GA 30214-3013
(404) 623-8955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012152
GA
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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