Lark, Julianne S.

Lark, Julianne S. is an individual health care provider with primary practice located at 4021 W Main St Suite 100, Kalamazoo MI 49006-3706. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Lark, Julianne S. can be contacted via phone (269) 384-6055.

Contact Information

Primary practice address
4021 W Main St Suite 100 Kalamazoo MI 49006-3706
Phone: (269) 384-6055
Fax: (269) 384-6056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301008518 Michigan

Profile Details

NPI number 1134285885
LBN Legal business name Lark, Julianne S.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Dec 10th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134285885 NPPES
Michigan Other 6301008518 PSYCHOLOGY LICENSE
Michigan Other 68-0-C9-4634-0 PSYCHOLOGY LICENSE

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