Clark, Clifford Jovan

Clark, Clifford Jovan is an individual health care provider with primary practice located at 44070 W 12 Mile Rd Suite 200, Novi MI 48377-2648. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Clark, Clifford Jovan can be contacted via phone (248) 773-8440.

Contact Information

Primary practice address
44070 W 12 Mile Rd Suite 200 Novi MI 48377-2648
Phone: (248) 773-8440
Fax: (248) 773-8441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6801100714 Michigan
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 6801100714 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6801100714 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801100714 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 6801100714 Michigan

Profile Details

NPI number 1649711615
LBN Legal business name Clark, Clifford Jovan
Credentials LLMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2017
Last updated Mar 10th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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