Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nicole Clark

Individual provider Professional Counselor · NPI 1013624998

Nicole Clark is a Professional Counselor in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

20201 Alhambra St
Southfield, MI 48076-5420
Phone: (248) 592-4108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401226521 (MI)

Record details

NPI number1013624998
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2022
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 18, 2026

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