person
Mr. Barry Kent Clark JR., LADC
Addiction (Substance Use Disorder) Counselor in Okmulgee, Oklahoma
NPI 1962413070

Barry Kent Clark JR. is an Addiction (Substance Use Disorder) Counselor based in Broken Arrow, OK and is specialized in Addiction (Substance Use Disorder). Barry Kent Clark JR. practices in Okmulgee, OK and has the professional credentials of LADC. The NPI Number for Barry Kent Clark JR. is 1962413070 and holds a License No. 584 (Oklahoma).

The current practice location address for Barry Kent Clark JR. is 100 W 7Th St, Okmulgee, OK and can be reached out via phone at 918-758-1910 and via fax at 918-756-1270.

Location: 100 W 7Th St, Okmulgee, OK, 74014-3062
person
Provider Profile Details
NPI Number
1962413070
Provider Name
Barry Kent Clark JR.
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
100 W 7Th St, Okmulgee, OK, 74014-3062
Phone Number
918-758-1910
Fax Number
918-756-1270
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300522348 01 OK MEDICARE KOWETA GROUP
institution
Provider Business Practice Location Address Details
Address
100 W 7Th St
City
State
Zip
74447-5007
Phone Number
918-758-1910
Fax Number
918-756-1270
person
Provider Business Mailing Address Details
Address
100 W 7Th St
City
State
Zip
74447-5007
Phone Number
918-758-1910
Fax Number
918-756-1270
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
584 (Oklahoma)
Definition
Definition to come...
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