person
Jerod Clark
Mental Health Counselor in Cleveland, Oklahoma
NPI 1952015141

Jerod Clark is a Mental Health Counselor based in Cleveland, OK and is specialized in Mental Health. Jerod Clark practices in Cleveland, OK. The NPI Number for Jerod Clark is 1952015141 and holds a License No. (Oklahoma).

The current practice location address for Jerod Clark is 907 W Caddo St, Cleveland, OK and can be reached out via phone at 918-607-5576.

Location: 907 W Caddo St, Cleveland, OK, 74020-4201
person
Provider Profile Details
NPI Number
1952015141
Provider Name
Jerod Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
907 W Caddo St, Cleveland, OK, 74020-4201
Phone Number
918-607-5576
Fax Number
Provider Enumeration Date
01/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
907 W Caddo St
City
State
Zip
74020-4201
Phone Number
918-607-5576
Fax Number
person
Provider Business Mailing Address Details
Address
907 W Caddo St
City
State
Zip
74020-4201
Phone Number
918-607-5576
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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