Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANJA SUPON-CLAUSE, MA LPC
Active Sole ProprietorProfessional Counselor · GUYTON, GA
Registration Details
- NPI Number
- 1639638703
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2019 (7.0961791637717 yrs)
- Last Updated
- Nov 17, 2023
- License
-
LPC010837 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 COTTON BLUFF CTGUYTON, GA, 313127540Browse GA providers · Browse ZIP 31312
- Phone
- 9124335099
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in GUYTON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. CRYSTAL MALLOY | PHD, LPC, MAC, CEAP | 1679958771 |
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.