Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN MARY CLARK, LPC
ActiveKAITLYN MARY CLARK, LPC is a Professional Counselor healthcare provider located in TUCKER, Georgia. NPI 1457725095 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · TUCKER, GA
Registration Details
- NPI Number
- 1457725095
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2015 (10.721136963449 yrs)
- Last Updated
- Sep 6, 2022
- License
-
LPC012288 (GA)
Practice Information
- Address
-
3760 LAVISTA RD STE 102TUCKER, GA, 300845622Browse GA providers · Browse ZIP 30084
- Phone
- 7703758124
- Fax
- 7705595543
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in TUCKER, GA
| Name | Credential | NPI |
|---|---|---|
| ANN CLAUDETTE WATERS | LPC | 1346259264 |
| ROBBIN R RYAN | LPC | 1629170667 |
| ELLEN H BERN | LPC | 1245332287 |
| MS. CASSANDRA JOHNSON LANDRY | LPC | 1285735340 |
| MS. TERRY LYNNE WYNNE | LPC | 1790828085 |
| KATHY POLLARD | LPC | 1437288834 |
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.