Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL B. CLARK, LMSW
Active Sole ProprietorJILL B. CLARK, LMSW is a Mental Health Counselor healthcare provider located in ONONDAGA, Michigan. NPI 1861777096 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ONONDAGA, MI
Registration Details
- NPI Number
- 1861777096
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2011 (14.897757055375 yrs)
- Last Updated
- Oct 19, 2011
- License
-
6801078236 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5123 OLD PLANK RDONONDAGA, MI, 492649707Browse MI providers · Browse ZIP 49264
- Phone
- 5176282287
- Fax
- 5176283421
- Primary Specialty
-
Mental Health Counselor
101YM0800X
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.