Individual
MRS. KRISTIE ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5090 STATE ST, SUITE 102-B, SAGINAW, MI 48603-7706
(479) 685-7830
Mailing address
5090 STATE ST, SUITE 102-B, SAGINAW, MI 48603-7706
(479) 685-7830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011076
MI
Other
Enumeration date
07/20/2015
Last updated
04/15/2021
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