Individual provider · Type 1 NPI

Melba Lynette Clark

Professional Counselor · Detroit, MI

NPI number 1073158317 Active

Practice location

1010 Antietam Ave
Detroit, MI 48207-2832

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401017626 (MI)

Professional Counselor: Definition to come...

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About NPI 1073158317

Melba Lynette Clark's National Provider Identifier is 1073158317, issued on Nov 11, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Sep 11, 2025.