Clark, Edward

Clark, Edward is an sole proprietor health care provider with primary practice located at 4015 Nine Mcfarland Dr Suite #175, Alpharetta GA 30004-8493. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Clark, Edward can be contacted via phone (678) 982-9039.

Contact Information

Primary practice address
4015 Nine Mcfarland Dr Suite #175 Alpharetta GA 30004-8493
Phone: (678) 982-9039
Fax: (470) 235-8705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X

Profile Details

NPI number 1043570732
LBN Legal business name Clark, Edward
Credentials LPC., CCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2012
Last updated Aug 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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