Kristie Clark, PLLC
Community/Behavioral Health in Saginaw, MI. Organization (NPI-2).
NPI number1558090969
StatusActive
Last updated in NPPESJun 28, 2022
Details
- NPI
- 1558090969
- Entity type
- Organization (NPI-2)
- Legal business name
- Kristie Clark, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2022
- Certification date
- Jun 28, 2022
- Last updated
- Jun 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
5090 State St Ste B102Saginaw, MI 48603-3778
Phone 989-430-6553 · Fax 989-355-0438
Mailing address
12375 Whisper Ridge DrFreeland, MI 48623-9500
Phone 989-430-6553 · Fax 989-355-0438
Authorized official
Kristie Clark
Licensed Professional Counselor
9894306553
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All 38 Community/Behavioral Health Agency providers in Saginaw · All 7,423 providers in Saginaw
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