person
Brenda Gayle Clark
Addiction (Substance Use Disorder) Counselor in Wagoner, Oklahoma
NPI 1467679175

Brenda Gayle Clark is an Addiction (Substance Use Disorder) Counselor based in Wagoner, OK and is specialized in Addiction (Substance Use Disorder). Brenda Gayle Clark practices in Wagoner, OK. The NPI Number for Brenda Gayle Clark is 1467679175 and holds a License No. (Oklahoma).

The current practice location address for Brenda Gayle Clark is 109 S. Harrill, Wagoner, OK and can be reached out via phone at 918-485-3554 and via fax at 918-485-8371.

Location: 109 S. Harrill, Wagoner, OK, 74467-5317
person
Provider Profile Details
NPI Number
1467679175
Provider Name
Brenda Gayle Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 S. Harrill, Wagoner, OK, 74467-5317
Phone Number
918-485-3554
Fax Number
918-485-8371
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
109 S. Harrill
City
State
Zip
74467-5317
Phone Number
918-485-3554
Fax Number
918-485-8371
person
Provider Business Mailing Address Details
Address
109 S. Harrill
City
State
Zip
74467-5317
Phone Number
918-485-3554
Fax Number
918-485-8371
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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