Individual provider · Type 1 NPI

Amanda Clark

Professional Counselor · Southfield, MI

NPI number 1144964107 Active

Practice location

24901 Northwestern Hwy Ste 500
Southfield, MI 48075-2212

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1144964107

Amanda Clark's National Provider Identifier is 1144964107, issued on Apr 26, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southfield, MI. The record was last updated on Dec 6, 2024.