Search › Georgia › 101Y00000X
Jenise Clark, LPC
NPI 1851880926 · on the registry since 2018
Practice
- Address
- 715 Bradley Dr
Fayetteville, GA 30214 - Phone
- (770) 358-5252
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
- Sex
- Female
- Record last updated
- 2021-03-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia