Dr. Susan Marie Clark
Pastoral Counselor Professional Counselor Mental Health Counselor
10 Wilson Rd
Stockbridge
, Georgia 30281-4468
Dr. Susan Marie Clark
Pastoral Counselor Professional Counselor Mental Health Counselor
10 Wilson Rd
Stockbridge
, Georgia 30281-4468
(770) 506-8663
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About
Features
Specialties
- Mental Health Counselor
- Pastoral Counselor
- Professional Counselor
Languages spoken
- English
Location
First Address
- Dr. Susan Marie Clark
- 10 Wilson Rd
- Stockbridge, GA
- Zip : 30281-4468
- Fax : (770) 506-8663
- Phone : (678) 438-4225
Second Address
- Dr. Susan Marie Clark
- 10 Wilson Rd
- Stockbridge, GA
- Zip : 30281-4468
- Fax : (770) 506-8663
- Phone : (678) 438-4225
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FAQs
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Is Dr. Susan Marie Clark a sole practitioner?
Is Dr. Susan Marie Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | LPC005485 | GA |
| N | 101YP1600X | Pastoral Counselor | LPC005485 | GA |
| Y | 101YP2500X | Professional Counselor | LPC005485 | GA |
National Provider Identifier
| NPI | 1154590073 |
|---|---|
| Provider Name | Dr. Susan Marie Clark |
| First Address | Stockbridge, GA 30281-4468 |
| Second Address | Stockbridge, GA 30281-4468 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2008 |
| Last Update Date | 05/01/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.