Clark, Jenise Trannell

Clark, Jenise Trannell is an individual health care provider with primary practice located at 715 Bradley Dr , Fayetteville GA 30214-2030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Clark, Jenise Trannell can be contacted via phone (770) 358-5252.

Contact Information

Primary practice address
715 Bradley Dr Fayetteville GA 30214-2030
Phone: (770) 358-5252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1851880926
LBN Legal business name Clark, Jenise Trannell
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2018
Last updated Mar 22nd, 2021 - about 5 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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