Individual provider · Type 1 NPI
Fanchon Marie Clark, M.A., LPC, CAADC
Professional Counselor · Grand Rapids, MI
NPI number
1689190290
Active
Practice location
622 Griggs St SE
Grand Rapids, MI 49507-2644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401009405 (MI) |
Professional Counselor: Definition to come...
Other professional counselor providers in Grand Rapids
- Marilyn Dale, LPCProfessional Counselor Grand Rapids, MI NPI 1003250242
- Amanda Joy Rewa, MA, LPCProfessional Counselor Grand Rapids, MI NPI 1003589565
- Xenia ChavezProfessional Counselor Grand Rapids, MI NPI 1003794967
- Ardean Beth Brock-Vanderwall, M.DIV., M.A.Professional Counselor Grand Rapids, MI NPI 1013147495
- William A. Brandner, LPCProfessional Counselor Grand Rapids, MI NPI 1013252683
- Megan Flier, LLPCProfessional Counselor Grand Rapids, MI NPI 1013521574
- Patrick A. NelsonProfessional Counselor Grand Rapids, MI NPI 1013549096
- Kelly James Bonewell, PhD, LPCProfessional Counselor Grand Rapids, MI NPI 1013931872
About NPI 1689190290
Fanchon Marie Clark, M.A., LPC, CAADC's National Provider Identifier is 1689190290, issued on Aug 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 21, 2022.