Individual provider · Type 1 NPI

Jacob Clark

Addiction (Substance Use Disorder) Counselor · Sault Sainte Marie, MI

NPI number 1750194643 Active

Practice location

1416 W Easterday Ave
Sault Sainte Marie, MI 49783-1415

Call (906) 632-9809 Map

Fax (906) 632-9845

Mailing address

100 Malton Rd
Negaunee, MI 49866-2001

Other practice locations

  • 1500 Sandpoint Rd, Munising, MI 49862-1406 · (906) 291-3400
  • 1115 S Hemlock St Ste 1, Iron Mountain, MI 49801-3800 · (906) 774-2561
  • 1101 Ludington St, Escanaba, MI 49829-3550 · (906) 789-3528
  • 100 Malton Rd Ste 7&8, Negaunee, MI 49866-2001 · (906) 485-2347
  • 241 Wright St, Marquette, MI 49855-1955 · (906) 228-7611
  • 220 Roosevelt St Ste 2, Ironwood, MI 49938-1737 · (906) 364-7506
  • 2655 Ashmun St, Sault Sainte Marie, MI 49783-3711 · (906) 632-2522
  • 100 Malton Rd Ste 1, Negaunee, MI 49866-2002 · (906) 451-4889
  • 104 Malton Rd, Negaunee, MI 49866-2000 · (906) 228-4692

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750194643

Jacob Clark's National Provider Identifier is 1750194643, issued on Jan 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sault Sainte Marie, MI. The record was last updated on Jan 27, 2025.