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Lesley Clack, LPC
NPI 1932243292 · on the registry since 2007
Practice
- Address
- 334 Tifton Eldorado Rd
Tifton, GA 31794 - Phone
- (229) 386-3494
- Fax
- (229) 386-3221
- Organisation at this address
- South Georgia Csb
Genoa Healthcare Llc
Southwestern State Hospital
Georgia Pines Community Service Board
Behavioral Health Services Of South GeorgiaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Professional Counselor
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-08
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