Edward Clark, LPC., CCADC
NPI #1043570732 in Alpharetta, Georgia
Provider Information
- NPI Number
- 1043570732
- Entity Type
- Individual
- Name
- Edward Clark, LPC., CCADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC., CCADC
- Enumeration Date
- May 29, 2012
- Last Updated
- Aug 4, 2014
Practice Location
- Address
- 4015 NINE MCFARLAND DR
- Address 2
- SUITE #175
- City
- Alpharetta
- State
- Georgia
- ZIP Code
- 30004-8493
- Phone
- (678) 982-9039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
| Psychoanalyst |
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