Mrs Lisa Jane Clark, LLPC is a
Counselor - Mental Health based in Cooks, Michigan. Mrs Lisa Jane Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
10430w County Road 442, Cooks, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 286-2943.
NPI number for Mrs Lisa Jane Clark is 1114593373 and her current mailing address is 10430w County Road 442, Cooks, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114593373.
Healthcare Provider's Profile
Full Name | Mrs Lisa Jane Clark |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 10430w County Road 442, Cooks, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114593373
- Provider Enumeration Date: 05/28/2021
- Last Update Date: 05/28/2021
Medical Identifiers
Medical identifiers for Mrs Lisa Jane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114593373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Jane Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lisa Jane Clark, LLPC 10430w County Road 442, Cooks, MI 49817-9770 Ph: (906) 286-2943 | Mrs Lisa Jane Clark, LLPC 10430w County Road 442, Cooks, MI 49817-9770 Ph: (906) 286-2943 |
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