Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY JOSEPHINE CLARK, M.A., L.P.C.
Active Sole ProprietorMS. MARY JOSEPHINE CLARK, M.A., L.P.C. is a Professional Counselor healthcare provider located in KENTWOOD, Michigan. NPI 1063482578 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · KENTWOOD, MI
Registration Details
- NPI Number
- 1063482578
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2006 (20.528135877802 yrs)
- Last Updated
- May 2, 2017
- License
-
6401005964 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4835 EASTERN AVE SESUITE 102KENTWOOD, MI, 495084729Browse MI providers · Browse ZIP 49508
- Phone
- 6162629749
- Fax
- 8664167581
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in KENTWOOD, MI
| Name | Credential | NPI |
|---|---|---|
| MR. GLENN EDWARD KUTZLI | MA LPC | 1043492176 |
| MR. DAVID ALAN VANDERWAL | MA/LPC | 1104004712 |
| JOSHUA COLBY | M.A, LPC, CAADC | 1093943169 |
| DR. DARRYL P PLUNKETT | PHD | 1043530850 |
| MISS ANNA MARIE PSAUTE | M.A, LPC | 1376846758 |
| KIM MICHELLE CHILDRESS | — | 1124410808 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.