Individual provider · Type 1 NPI
Kendell Elaine Clark, MS, LPC, NCC
Professional Counselor · Frederick, OK
NPI number
1811294176
Active
Practice location
1118 North 13th Street
Frederick, OK 73542-1605
Mailing address
400 Sunnybrook Dr
Frederick, OK 73542-4013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Professional Counselor: Definition to come...
About NPI 1811294176
Kendell Elaine Clark, MS, LPC, NCC's National Provider Identifier is 1811294176, issued on Feb 23, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Frederick, OK. The record was last updated on Jul 17, 2024.