Individual
MRS. LISA JANE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
10430W COUNTY ROAD 442, COOKS, MI 49817-9770
(906) 286-2943
Mailing address
10430W COUNTY ROAD 442, COOKS, MI 49817-9770
(906) 286-2943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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