Whalio Doctors

NPI 1649711615

Clifford Jovan Clark, LLMSW

Practitioner Marriage & Family Therapist Novi, MI

Practice location

Address
44070 W 12 Mile Rd Suite 200, Novi, MI 48377-2648
Phone
(248) 773-8440
Fax
(248) 773-8441

Registered specialties (5)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 6801100714 (MI)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 6801100714 (MI)
Pastoral Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP1600X Licence 6801100714 (MI)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6801100714 (MI)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6801100714 (MI)

Registry record

NPI
1649711615
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Mar 2017
Record last updated
10 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.