Individual provider · Type 1 NPI

Ebonye Patrice Clark

Peer Specialist · Midwest City, OK

NPI number 1962998062 Active

Practice location

1704 Center Dr Apt 2
Midwest City, OK 73110-2869

Call (405) 679-7979 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1962998062

Ebonye Patrice Clark's National Provider Identifier is 1962998062, issued on Jul 2, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Midwest City, OK. The record was last updated on Jul 2, 2018.