person
Mr. Billy Roy Clark, LADC
Addiction (Substance Use Disorder) Counselor in Ardmore, Oklahoma
NPI 1417244278

Billy Roy Clark is an Addiction (Substance Use Disorder) Counselor based in Ardmore, OK and is specialized in Addiction (Substance Use Disorder). Billy Roy Clark practices in Ardmore, OK and has the professional credentials of LADC. The NPI Number for Billy Roy Clark is 1417244278 and holds a License No. 224 (Oklahoma).

The current practice location address for Billy Roy Clark is 117 W Broadway St Ste 301, Ardmore, OK and can be reached out via phone at 580-465-2194 and via fax at 580-490-3371. You can also correspond with Billy Roy Clark through the mailing address at 117 W BROADWAY ST STE 301, ARDMORE, OK - 73401-6226 (mailing address contact number: 580-465-2194).

Location: 117 W Broadway St Ste 301, Ardmore, OK, 73401-6226
person
Provider Profile Details
NPI Number
1417244278
Provider Name
Billy Roy Clark
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
117 W Broadway St Ste 301, Ardmore, OK, 73401-6226
Phone Number
580-465-2194
Fax Number
580-490-3371
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
117 W Broadway St Ste 301
City
State
Zip
73401-6226
Phone Number
580-465-2194
Fax Number
580-490-3371
person
Provider Business Mailing Address Details
Address
117 W Broadway St Ste 301
City
State
Zip
73401-6226
Phone Number
580-465-2194
Fax Number
580-490-3371
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
224 (Oklahoma)
Definition
Definition to come...
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