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Vickie Diane Clark
Counselor in Midwest City, Oklahoma
NPI 1760765374

Vickie Diane Clark is a Counselor based in Midwest City, OK. Vickie Diane Clark practices in Midwest City, OK. The NPI Number for Vickie Diane Clark is 1760765374 and holds a License No. (Oklahoma).

The current practice location address for Vickie Diane Clark is 10905 Ne 10Th St, Midwest City, OK and can be reached out via phone at 918-791-1995. You can also correspond with Vickie Diane Clark through the mailing address at 10905 NW 10TH ST., MIDWEST CITY, OK - 74344 (mailing address contact number: 918-791-1995).

Location: 10905 Ne 10Th St, Midwest City, OK, 74344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760765374
Provider Name
Vickie Diane Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
10905 Ne 10Th St, Midwest City, OK, 74344
Phone Number
918-791-1995
Fax Number
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10905 Ne 10Th St
City
Midwest City
State
Oklahoma
Zip
73130-2209
Phone Number
918-791-1995
Fax Number
person
Provider Business Mailing Address Details
Address
10905 Nw 10Th St.
City
Midwest City
State
Oklahoma
Zip
74344
Phone Number
918-791-1995
Fax Number
405-769-7572
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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