Clyde William Sandford, LPC

NPI #1316176860 in Jackson, Georgia

Provider Information

NPI Number
1316176860
Entity Type
Individual
Name
Clyde William Sandford, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jul 6, 2009
Last Updated
Feb 28, 2024

Practice Location

Address
169 DEMPSEY AVE STE 3
State
Georgia
ZIP Code
30233-2019
Phone
(401) 889-4673

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist
Counselor
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health
Counselor - PastoralPastoral
Counselor - ProfessionalProfessional

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