Amanda Clark is a Peer Specialist based in Southgate, MI. Amanda Clark practices in Southgate, MI. The NPI Number for Amanda Clark is 1255835351 and holds a License No. (Michigan).
The current practice location address for Amanda Clark is 13101 Allen Rd, Southgate, MI and can be reached out via phone at 734-785-7701.
Location: 13101 Allen Rd, Southgate, MI, 48195-2216
Provider Profile Details
NPI Number
1255835351
Provider Name
Amanda Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
13101 Allen Rd, Southgate, MI, 48195-2216
Phone Number
734-785-7701
Fax Number
Provider Enumeration Date
03/22/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
13101 Allen Rd
City
State
Zip
48195-2216
Phone Number
734-785-7701
Fax Number
Provider Business Mailing Address Details
Address
13101 Allen Rd
City
State
Zip
48195-2216
Phone Number
734-785-7701
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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