Individual
SHEILA A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
30200 TELEGRAPH RD STE 106, BINGHAM FARMS, MI 48025-4503
(248) 676-1700
Mailing address
5525 YORKSHIRE RD, DETROIT, MI 48224-2140
(313) 485-0930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015688
MI
101YP2500X
Professional Counselor
6401015688
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401015688
—
MI
Enumeration date
03/04/2019
Last updated
03/04/2019
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