Individual provider · Type 1 NPI

Jerod Clark

Mental Health Counselor · Cleveland, OK

NPI number 1952015141 Active

Practice location

907 W Caddo St
Cleveland, OK 74020-4201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1952015141

Jerod Clark's National Provider Identifier is 1952015141, issued on Jan 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OK. The record was last updated on Jan 11, 2023.