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Kathy Clark, MA,NCC,LPC
Mental Health Counselor in Newnan, Georgia
NPI 1487062303

Kathy Clark is a Mental Health Counselor based in Newnan, GA and is specialized in Mental Health. Kathy Clark practices in Newnan, GA and has the professional credentials of MA,NCC,LPC. The NPI Number for Kathy Clark is 1487062303 and holds a License No. (Georgia).

The current practice location address for Kathy Clark is 18 Jackson St, Newnan, GA and can be reached out via phone at 678-995-5398.

Location: 18 Jackson St, Newnan, GA, 30263-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487062303
Provider Name
Kathy Clark
Credential
MA,NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
18 Jackson St, Newnan, GA, 30263-1910
Phone Number
678-995-5398
Fax Number
Provider Enumeration Date
07/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC009802 01 GA STATE OF GEORGIA
institution
Provider Business Practice Location Address Details
Address
18 Jackson St
City
Newnan
State
Georgia
Zip
30263-1910
Phone Number
678-995-5398
Fax Number
person
Provider Business Mailing Address Details
Address
18 Jackson St
City
Newnan
State
Georgia
Zip
30263-1910
Phone Number
678-995-5398
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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