MR. Robert Lucien Clark, L.P.C., N.C.C.

NPI #1932282704 in Cleveland, Georgia

Provider Information

NPI Number: 1932282704
Entity Type: Individual
Name: MR. Robert Lucien Clark, L.P.C., N.C.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: L.P.C., N.C.C.
Enumeration Date: Oct 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 42 NORTH AVENUE
City: Cleveland
State: Georgia
ZIP Code: 30528-1398
Phone: (706) 348-8674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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