Search › Georgia › 101YP2500X
Clyde Sandford, LPC
NPI 1316176860 · on the registry since 2009 · sole proprietor
Practice
- Address
- 169 Dempsey Ave Ste 3
Jackson, GA 30233 - Phone
- (401) 889-4673
- Clinicians at this address
- 4
Additional practice sites
- 9 Vose Farm Rd, Peterborough, NH
- 1944 Brannan Rd, Mcdonough, GA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 106H00000X
101Y00000X
101YA0400X
101YM0800X
101YP1600X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia