Individual provider · Type 1 NPI
Lisa Jane Clark, LLPC
Mental Health Counselor · Cooks, MI
NPI number
1114593373
Active
Practice location
10430W County Road 442
Cooks, MI 49817-9770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1114593373
Lisa Jane Clark, LLPC's National Provider Identifier is 1114593373, issued on May 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cooks, MI. The record was last updated on May 28, 2021.