Individual provider · Type 1 NPI
Lynetta Clark, LPC
Professional Counselor · Tulsa, OK
NPI number
1164845079
Active
Practice location
4707 E 6th St
Tulsa, OK 74112-4231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2877 (OK) |
Professional Counselor: Definition to come...
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About NPI 1164845079
Lynetta Clark, LPC's National Provider Identifier is 1164845079, issued on Jan 28, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tulsa, OK. The record was last updated on Jan 28, 2014.