Individual provider · Type 1 NPI

Clayton V. Clark

Peer Specialist · Ardmore, OK

NPI number 1396498382 Active

Practice location

1219 K St NW
Ardmore, OK 73401-1801

Call (580) 798-4532 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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 1396498382

Clayton V. Clark's National Provider Identifier is 1396498382, issued on Jan 31, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ardmore, OK. The record was last updated on Apr 7, 2022.