NPI 1104343995

Stephanie Clark, LMFTLPC

Practitioner Marriage & Family Therapist Roswell, GA

Practice location

Address: 1175 Canton St, Roswell, GA 30075-3692
Phone: (404) 394-3748
Mailing address: 320 Saddle Hill CT, Roswell, GA 30075

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 001264 (GA)

Other Marriage & Family Therapist providers in Georgia →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 006348 (GA)

Other Counselor providers in Georgia →

Registry record

NPI: 1104343995
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2017
Record last updated: 23 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.