Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM DAVE CLARK, PH.D.
Active Sole ProprietorDR. WILLIAM DAVE CLARK, PH.D. is a Mental Health Counselor healthcare provider located in ELLERSLIE, Georgia. NPI 1023274503 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ELLERSLIE, GA
Registration Details
- NPI Number
- 1023274503
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2008 (18.010802727977 yrs)
- Last Updated
- Aug 4, 2008
- License
-
LPC001112 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1421 OSSAHATCHIE CREEK RDELLERSLIE, GA, 318075339Browse GA providers · Browse ZIP 31807
- Phone
- 5613190625
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.