Individual
GILBERT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 775-1366
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 876-6527
(231) 876-6519
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01085
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
303944
MN
101YP2500X
Professional Counselor
Primary
02015
MN
Other
Enumeration date
09/10/2015
Last updated
08/01/2022
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