Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mary Josephine Clark, MA, LPC

Individual provider Professional Counselor · NPI 1063482578

MS. Mary Josephine Clark, MA, LPC is a Professional Counselor in Kentwood, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4835 Eastern Ave SE Ste 102
Kentwood, MI 49508-4729
Phone: (616) 262-9749
Fax: (866) 416-7581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401005964 (MI)

Record details

NPI number1063482578
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMay 2, 2017

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