Individual provider · Type 1 NPI
Brian R. Clark, L.P.C.
Professional Counselor · Sault Sainte Marie, MI
NPI number
1497907190
Active
Practice location
623 W Easterday Ave
Sault Sainte Marie, MI 49783-1625
Mailing address
2684 Kavanaugh St
Ossineke, MI 49766-9784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401000919 (MI) |
| Social Worker | 104100000X | 6801016728 (MI) |
Professional Counselor: Definition to come...
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About NPI 1497907190
Brian R. Clark, L.P.C.'s National Provider Identifier is 1497907190, issued on Oct 14, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sault Sainte Marie, MI. The record was last updated on Feb 3, 2016.