| Kristie Clark, Pllc | |
|
5090 State St Ste B102 Saginaw MI 48603-3778 | |
| (989) 430-6553 | |
| (989) 355-0438 |
| Full Name | Kristie Clark, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5090 State St Ste B102, Saginaw, Michigan |
| Authorized Official Name and Position | Kristie Clark (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9894306553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristie Clark, Pllc 12375 Whisper Ridge Dr Freeland MI 48623-9500 Ph: (989) 430-6553 | Kristie Clark, Pllc 5090 State St Ste B102 Saginaw MI 48603-3778 Ph: (989) 430-6553 |
| NPI Number | 1558090969 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558090969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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