person
Mrs. Madison Anne Clark, LPCCANDIDATE
Professional Counselor in Norman, Oklahoma
NPI 1407195183

Madison Anne Clark is a Professional Counselor based in Norman, OK and is specialized in Professional. Madison Anne Clark practices in Norman, OK and has the professional credentials of LPCCANDIDATE. The NPI Number for Madison Anne Clark is 1407195183 and holds a License No. (Oklahoma).

The current practice location address for Madison Anne Clark is 711 W Main Street, Norman, OK and can be reached out via phone at 405-882-4960.

Location: 711 W Main Street, Norman, OK, 73069-4403
person
Provider Profile Details
NPI Number
1407195183
Provider Name
Madison Anne Clark
Credential
LPCCANDIDATE
Provider Entity Type
Individual
Gender
Female
Address
711 W Main Street, Norman, OK, 73069-4403
Phone Number
405-882-4960
Fax Number
Provider Enumeration Date
01/31/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407195183 05 OK
institution
Provider Business Practice Location Address Details
Address
711 W Main Street
City
State
Zip
73069-6918
Phone Number
405-882-4960
Fax Number
person
Provider Business Mailing Address Details
Address
711 W Main Street
City
State
Zip
73069-6918
Phone Number
405-882-4960
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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