person
Ms. Aletha Jennifer Clark, PHD,LPC
Professional Counselor in Snellville, Georgia
NPI 1912049594

Aletha Jennifer Clark is a Professional Counselor based in Snellville, GA and is specialized in Professional. Aletha Jennifer Clark practices in Snellville, GA and has the professional credentials of PHD,LPC. The NPI Number for Aletha Jennifer Clark is 1912049594 and holds a License No. 1658-R (Georgia).

The current practice location address for Aletha Jennifer Clark is 2386 Clower St Ste D-100, Snellville, GA and can be reached out via phone at 404-550-0564 and via fax at 678-344-2956.

Location: 2386 Clower St Ste D-100, Snellville, GA, 30078-0955
person
Provider Profile Details
NPI Number
1912049594
Provider Name
Aletha Jennifer Clark
Credential
PHD,LPC
Provider Entity Type
Individual
Gender
Female
Address
2386 Clower St Ste D-100, Snellville, GA, 30078-0955
Phone Number
404-550-0564
Fax Number
678-344-2956
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
894502453A 05 GA
institution
Provider Business Practice Location Address Details
Address
2386 Clower St Ste D-100
City
State
Zip
30078-6134
Phone Number
404-550-0564
Fax Number
678-344-2956
person
Provider Business Mailing Address Details
Address
2386 Clower St Ste D-100
City
State
Zip
30078-6134
Phone Number
404-550-0564
Fax Number
678-344-2956
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC004805 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1658-R (Georgia)
Definition
Definition to come...
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