# JOHN D. CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235223041
- **Gender:** Man
- **Credential:** L.P.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 6401007651 | MI | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 02/04/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0023817001 | — | WV |