Individual provider · Type 1 NPI

Vickie Diane Clark

Counselor · Midwest City, OK

NPI number 1760765374 Active

Practice location

10905 NE 10th St
Midwest City, OK 73130-2209

Call (918) 791-1995 Map

Mailing address

10905 NW 10th St.
Midwest City, OK 74344

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1760765374

Vickie Diane Clark's National Provider Identifier is 1760765374, issued on Sep 21, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Midwest City, OK. The record was last updated on Sep 21, 2011.