person
Gilbert Clark
Professional Counselor in Cadillac, Michigan
NPI 1982072765

Gilbert Clark is a Professional Counselor based in Cadillac, MI and is specialized in Professional. Gilbert Clark practices in Cadillac, MI. The NPI Number for Gilbert Clark is 1982072765 and holds a License No. 2-01085 (Michigan).

The current practice location address for Gilbert Clark is 520 Cobb St, Cadillac, MI and can be reached out via phone at 231-775-6521 and via fax at 231-775-1366.

Location: 520 Cobb St, Cadillac, MI, 49601-2588
person
Provider Profile Details
NPI Number
1982072765
Provider Name
Gilbert Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
520 Cobb St, Cadillac, MI, 49601-2588
Phone Number
231-775-6521
Fax Number
231-775-1366
Provider Enumeration Date
09/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
520 Cobb St
City
State
Zip
49601-2588
Phone Number
231-775-6521
Fax Number
231-775-1366
person
Provider Business Mailing Address Details
Address
520 Cobb St
City
State
Zip
49601-2588
Phone Number
231-775-6521
Fax Number
231-775-1366
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
303944 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2-01085 (Michigan)
Definition
Definition to come...
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