Individual provider · Type 1 NPI

Susan G. Clark

Mental Health Counselor · Durant, OK

NPI number 1740569698 Active

Practice location

1604 N Washington Ave
Durant, OK 74701-2128

Call (580) 920-0909 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740569698

Susan G. Clark's National Provider Identifier is 1740569698, issued on Aug 10, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durant, OK. The record was last updated on Aug 10, 2011.