Provider Demographics
NPI:1528306990
Name:CLARKSON, LINDA A (LPC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:CLARKSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3052 WESTWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3876
Mailing Address - Country:US
Mailing Address - Phone:470-461-7211
Mailing Address - Fax:
Practice Address - Street 1:3052 WESTWOOD WAY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-3876
Practice Address - Country:US
Practice Address - Phone:470-461-7211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-19
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00465000101YP2500X
NC12953101YM0800X
GALPC010782101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health