Individual provider · Type 1 NPI

Kyra Clark

Professional Counselor · Tulsa, OK

NPI number 1083093512 Active

Practice location

3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344

Call (888) 882-0859 Map

Mailing address

6010 S 73rd East Ave
Tulsa, OK 74145-9329

Other practice locations

  • 6010 S 73rd East Ave, Tulsa, OK 74145-9329 · (918) 613-0250

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X7392 (OK)
Case Manager/Care Coordinator 171M00000XNone listed
Contractor 171W00000XNone listed
Professional Counselor Primary 101YP2500X7392 (OK)

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About NPI 1083093512

Kyra Clark's National Provider Identifier is 1083093512, issued on May 29, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tulsa, OK. The record was last updated on Jul 15, 2022.