Individual provider · Type 1 NPI

Julie D. Clark, PhD

Mental Health Counselor · Ponca City, OK

NPI number 1487084968 Active

Practice location

200 White Eagle Dr
Ponca City, OK 74601-8315

Call (580) 762-3421 Map

Mailing address

PO Box 1021
Stillwater, OK 74076-1021

Other practice locations

  • 1011 Honor Heights Dr, Muskogee, OK 74401-1318 · (918) 577-3699

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487084968

Julie D. Clark, PhD's National Provider Identifier is 1487084968, issued on Nov 19, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ponca City, OK. The record was last updated on Apr 19, 2025.