Individual provider · Type 1 NPI

Olivia Clark

Peer Specialist · Grand Rapids, MI

NPI number 1992564983 Active

Practice location

1115 Ball Ave NE
Grand Rapids, MI 49505-5904

Mailing address

14 Burton St SE
Grand Rapids, MI 49507-3057

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1992564983

Olivia Clark's National Provider Identifier is 1992564983, issued on Mar 13, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 13, 2024.