Doctor Name: | DR. JOYCE ANN CLEM |
NPI Number: | 1124254974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CADC LL |
License Number: | LPC005085 |
Business Practice Address: | 183 Academic Dr Bldg# 39721 Fort Gordon, GA - 309055933 |
Business Phone Number: | 7067875392 |
Business Fax Number: | |
Mailing Address: | 183 Academic Dr, Bldg# 39721 FORT GORDON |
State: | GA |
Postal Code: | 309055933 |
Phone Number: | 7067875392 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2009 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC005085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |