SearchMichigan104100000X

Daija Clark

NPI 1245074210 · on the registry since 2024

Practice

Address
8072 21 Mile Rd
Shelby Township, MI 48317
Phone
(586) 932-2700
Organisation at this address
Lakeside Professional Counseling, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan