Individual
PEYTON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 PAPER TRAIL WAY STE 106, CANTON, GA 30115-5204
(678) 880-4645
Mailing address
27 REGENCY RD, ALPHARETTA, GA 30022-1627
(770) 789-6535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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