Edward Clark, LPC, CCADC - Counselor in Alpharetta, GA

Edward Clark, LPC, CCADC is a Counselor - Professional based in Alpharetta, Georgia. Edward Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is 4015 Nine Mcfarland Dr, Suite #175, Alpharetta, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 982-9039.

NPI number for Edward Clark is 1043570732 and his current mailing address is 4015 Nine Mcfarland Dr, Suite #175, Alpharetta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043570732.

Contact Information

Edward Clark, LPC, CCADC
4015 Nine Mcfarland Dr, Suite #175,
Alpharetta, GA 30004-8493
(678) 982-9039
(470) 235-8705

Healthcare Provider's Profile

Full NameEdward Clark
GenderMale
SpecialityCounselor - Professional
Location4015 Nine Mcfarland Dr, Alpharetta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043570732
  • Provider Enumeration Date: 05/29/2012
  • Last Update Date: 08/04/2014

Medical Identifiers

Medical identifiers for Edward Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043570732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Primary
102L00000XPsychoanalyst (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edward Clark, LPC, CCADC
4015 Nine Mcfarland Dr, Suite #175,
Alpharetta, GA 30004-8493

Ph: (678) 982-9039
Edward Clark, LPC, CCADC
4015 Nine Mcfarland Dr, Suite #175,
Alpharetta, GA 30004-8493

Ph: (678) 982-9039

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