Jacqueline Renee Clark, BA, HRC

NPI #1548452956 in Holdenville, Oklahoma

Provider Information

NPI Number: 1548452956
Entity Type: Individual
Name: Jacqueline Renee Clark, BA, HRC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BA, HRC
Enumeration Date: Aug 10, 2007
Last Updated: Aug 10, 2007

Practice Location

Address: 118 E MAIN ST
City: Holdenville
State: Oklahoma
ZIP Code: 74848-3208
Phone: (405) 379-5256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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