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Clyde William Sandford, LPC
Professional Counselor in Jackson, Georgia
NPI 1316176860

Clyde William Sandford is a Professional Counselor based in Jackson, GA and is specialized in Professional. Clyde William Sandford practices in Jackson, GA and has the professional credentials of LPC. The NPI Number for Clyde William Sandford is 1316176860 and holds a License No. LPC011574 (Georgia).

The current practice location address for Clyde William Sandford is 169 Dempsey Ave Ste 3, Jackson, GA and can be reached out via phone at 401-889-4673.

Location: 169 Dempsey Ave Ste 3, Jackson, GA, 30233-0014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316176860
Provider Name
Clyde William Sandford
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
169 Dempsey Ave Ste 3, Jackson, GA, 30233-0014
Phone Number
401-889-4673
Fax Number
Provider Enumeration Date
07/06/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81263595 05 NH
institution
Provider Business Practice Location Address Details
Address
169 Dempsey Ave Ste 3
City
Jackson
State
Georgia
Zip
30233-2019
Phone Number
401-889-4673
Fax Number
person
Provider Business Mailing Address Details
Address
169 Dempsey Ave Ste 3
City
Jackson
State
Georgia
Zip
30233-2019
Phone Number
401-889-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC011574 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC011574 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC011574 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
LPC011574 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC011574 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LPC011574 (Georgia)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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