Individual provider · Type 1 NPI

Michael P. Clark

Peer Specialist · Tahlequah, OK

NPI number 1417732397 Active

Practice location

1011 S Muskogee Ave
Tahlequah, OK 74464-4733

Call (918) 525-6035 Map

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 1417732397

Michael P. Clark's National Provider Identifier is 1417732397, issued on Aug 29, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Aug 29, 2023.