Individual provider · Type 1 NPI

Julie Kathleen Clark, M.S., LPC, CRC, MITS

Professional Counselor · Petoskey, MI

NPI number 1164892873 Active

Practice location

220 Bay St
Petoskey, MI 49770-2473

Call (231) 622-5061 Map

Mailing address

220 Bay Street
Petoskey, MI 49770

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401011220 (MI)

Professional Counselor: Definition to come...

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About NPI 1164892873

Julie Kathleen Clark, M.S., LPC, CRC, MITS's National Provider Identifier is 1164892873, issued on Oct 7, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Petoskey, MI. The record was last updated on Oct 7, 2015.