Individual
CLARK FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
(517) 787-2440
Mailing address
7630 SPRINGVILLE HWY, ONSTED, MI 49265-9532
(517) 787-7920
(517) 787-2440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007164
MI
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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