MS. JULIE KATHLEEN CLARK M.S. LPC CRC MITS NPI 1164892873

NPI Information

NPI: 1164892873
Provider Name: MS. JULIE KATHLEEN CLARK, M.S., LPC, CRC, MITS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
220 BAY ST
PETOSKEY, MI
ZIP 49770
Phone: (231) 622-5061
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MS. Julie Kathleen Clark, M.S., LPC, CRC, MITS is a professional counselor in Petoskey, MI with 20 years of experience. MS. Julie Kathleen Clark, M.S., LPC, CRC, MITS NPI is 1164892873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

220 BAY ST
PETOSKEY, MI
ZIP 49770-473
Phone: (231) 622-5061

The NPI 1164892873 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/7/2015 and was last updated on 10/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401011220	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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