Jerod Clark

NPI #1952015141 in Cleveland, Oklahoma

Provider Information

NPI Number
1952015141
Entity Type
Individual
Name
Jerod Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jan 11, 2023
Last Updated
Jan 11, 2023

Practice Location

Address
907 W CADDO ST
ZIP Code
74020-4201
Phone
(918) 607-5576

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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