person
Colby Clark
Peer Specialist in Tulsa, Oklahoma
NPI 1194451575

Colby Clark is a Peer Specialist based in Tulsa, OK. Colby Clark practices in Tulsa, OK. The NPI Number for Colby Clark is 1194451575 and holds a License No. (Oklahoma).

The current practice location address for Colby Clark is 4103 S Yale Ave Ste B, Tulsa, OK and can be reached out via phone at 918-382-7300 and via fax at 918-382-7302.

Location: 4103 S Yale Ave Ste B, Tulsa, OK, 74135-6002
person
Provider Profile Details
NPI Number
1194451575
Provider Name
Colby Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
4103 S Yale Ave Ste B, Tulsa, OK, 74135-6002
Phone Number
918-382-7300
Fax Number
918-382-7302
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4103 S Yale Ave Ste B
City
State
Zip
74135-6002
Phone Number
918-382-7300
Fax Number
918-382-7302
person
Provider Business Mailing Address Details
Address
4103 S Yale Ave Ste B
City
State
Zip
74135-6002
Phone Number
918-382-7300
Fax Number
918-382-7302
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
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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