MRS. Gina Clark, LPC
NPI #1023151784 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1023151784
- Entity Type
- Individual
- Name
- MRS. Gina Clark, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Apr 27, 2015
Practice Location
- Address
- 800 E 6TH AVE STE B
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74074-3732
- Phone
- (405) 372-1250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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