Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert Bicknell Clark III, CADC-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891368056

Mr. Robert Bicknell Clark III, CADC-1 is an Addiction (Substance Use Disorder) Counselor in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

4200 Northside Pkwy NW Bldg 7
Atlanta, GA 30327-3007
Phone: (404) 793-6349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0689 (GA)

Record details

NPI number1891368056
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-1
Sole proprietorYes
NPI enumeratedJuly 23, 2021
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021

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