| Ms Mary Josephine Clark, MA, LPC | |
|
4835 Eastern Ave Se, Suite 102, Kentwood, MI 49508-4729 | |
| (616) 262-9749 | |
| (866) 416-7581 |
| Full Name | Ms Mary Josephine Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4835 Eastern Ave Se, Kentwood, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063482578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401005964 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Josephine Clark, MA, LPC 1680 44th St Se Unit 8074, Grand Rapids, MI 49518-5005 Ph: (616) 262-9749 | Ms Mary Josephine Clark, MA, LPC 4835 Eastern Ave Se, Suite 102, Kentwood, MI 49508-4729 Ph: (616) 262-9749 |
Mr. Glenn Edward Kutzli, MA LPC Counselor Medicare: Medicare Enrolled Practice Location: 3333 36th St Se, Kentwood, MI 49512 Phone: 616-954-3540 | |
Joshua Colby, M.A, LPC, CAADC Counselor Medicare: Medicare Enrolled Practice Location: 1403 60th St Se, Kentwood, MI 49508 Phone: 616-805-3660 | |
Mr. David Alan Vanderwal, MA/LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6670 Kalamazoo Ave Se, Suite D, Kentwood, MI 49508 Phone: 616-565-4159 Fax: 616-565-4161 | |
Keenya Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1496 Mapleview St Se, Kentwood, MI 49508 Phone: 616-254-9230 | |
Melissa Kay Zeeryp, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2013 Eastcastle Dr Se, Kentwood, MI 49508 Phone: 616-888-1120 | |
Mr. Kyle Eric Hinton Sr., MA, CAAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4475 Springmont Dr Se, Kentwood, MI 49512 Phone: 616-540-6393 |