Organization
KRISTIE CLARK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE CLARK (LICENSED PROFESSIONAL COUNSELOR)
(989) 430-6553
Entity
Organization
Contact information
Practice address
5090 STATE ST STE B102, SAGINAW, MI 48603-3778
(989) 430-6553
(989) 355-0438
Mailing address
12375 WHISPER RIDGE DR, FREELAND, MI 48623-9500
(989) 430-6553
(989) 355-0438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/28/2022
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