Individual provider · Type 1 NPI

Colby Clark

Peer Specialist · Tulsa, OK

NPI number 1194451575 Active

Practice location

4103 S Yale Ave Ste B
Tulsa, OK 74135-6002

Fax (918) 382-7302

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1194451575

Colby Clark's National Provider Identifier is 1194451575, issued on Jul 27, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 27, 2022.