Clark, Julie Kathleen

Clark, Julie Kathleen is an sole proprietor health care provider with primary practice located at 220 Bay St , Petoskey MI 49770-2473. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Julie Kathleen can be contacted via phone (231) 622-5061.

Contact Information

Primary practice address
220 Bay St Petoskey MI 49770-2473
Phone: (231) 622-5061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401011220 Michigan

Profile Details

NPI number 1164892873
LBN Legal business name Clark, Julie Kathleen
Credentials M.S., LPC, CRC, MITS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - about 9 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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