Individual provider · Type 1 NPI

Gilbert Clark

Professional Counselor · Cadillac, MI

NPI number 1982072765 Active

Practice location

520 Cobb St
Cadillac, MI 49601-2588

Call (231) 775-6521 Map

Fax (231) 775-1366

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2-01085 (MI)
Addiction (Substance Use Disorder) Counselor 101YA0400X303944 (MN)
Professional Counselor Primary 101YP2500X02015 (MN)

Professional Counselor: Definition to come...

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About NPI 1982072765

Gilbert Clark's National Provider Identifier is 1982072765, issued on Sep 10, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cadillac, MI. The record was last updated on Aug 1, 2022.