Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLYDE WILLIAM SANDFORD, LPC
Active Sole ProprietorCLYDE WILLIAM SANDFORD, LPC is a Professional Counselor healthcare provider located in JACKSON, Georgia. NPI 1316176860 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · JACKSON, GA
Registration Details
- NPI Number
- 1316176860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2009 (16.924012794718 yrs)
- Last Updated
- Feb 28, 2024
- Licenses
-
LPC011574 (GA)LPC011574 (GA)LPC011574 (GA)LPC011574 (GA)LPC011574 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
169 DEMPSEY AVE STE 3JACKSON, GA, 302332019Browse GA providers · Browse ZIP 30233
- Phone
- 4018894673
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Pastoral Counselor
Other Professional Counselor Providers in JACKSON, GA
| Name | Credential | NPI |
|---|---|---|
| ANGELA K HARDY | LAPC | 1437374535 |
| MRS. BONNIE KAY HOLM | LPC | 1558638197 |
| JOSHUA MICHAEL JACOBSON | — | 1023381670 |
| WENDY G THORNTON | LPC | 1649670290 |
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.