Fanchon Marie Clark, M.A., LPC, CAADC is a professional counselor in Grand Rapids, MI. Fanchon Marie Clark, M.A., LPC, CAADC NPI is 1689190290. 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:
622 GRIGGS ST SE
GRAND RAPIDS, MI
ZIP 49507-644
Phone: (616) 901-1650
The enumeration date for this NPI number is 8/15/2017 and was last updated on 8/15/2017.