Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FANCHON MARIE CLARK, M.A., LPC, CAADC
Active Sole ProprietorFANCHON MARIE CLARK, M.A., LPC, CAADC is a Professional Counselor healthcare provider located in GRAND RAPIDS, Michigan. NPI 1689190290 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1689190290
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2017 (8.8118078810598 yrs)
- Last Updated
- Jul 21, 2022
- License
-
6401009405 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
622 GRIGGS ST SEGRAND RAPIDS, MI, 495072644Browse MI providers · Browse ZIP 49507
- Phone
- 6169011650
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MONICA SMITH | RD, LPC | 1770585697 |
| ANN M BIXLER | LPC LLP | 1265403380 |
| ROBERT G DINALLO | PHD LPC | 1538131768 |
| SAMUEL A BEALS | MA LPC | 1073572541 |
| MS. REGINA KAYE ESSEX-DOHERTY | MA LPC | 1114987443 |
| ANGELA M SCOTT | LPC | 1023070232 |
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.