Ebonye Patrice Clark - Midwest City, OK

Ebonye Patrice Clark

Peer Specialist in Midwest City, Oklahoma

NPI 1962998062

Ebonye Patrice Clark is a Peer Specialist based in Midwest City, OK. Ebonye Patrice Clark practices in Midwest City, OK. The NPI Number for Ebonye Patrice Clark is 1962998062 and holds a License No. (Oklahoma).

The current practice location address for Ebonye Patrice Clark is 1704 Center Dr Apt 2, Midwest City, OK and can be reached out via phone at 405-679-7979.

Location: 1704 Center Dr Apt 2, Midwest City, OK, 73110-2869

NPI Number

1962998062

Provider Name

Ebonye Patrice Clark

Credential

Provider Entity Type

Individual

Gender

Female

Address

1704 Center Dr Apt 2, Midwest City, OK, 73110-2869

Phone Number

405-679-7979

Fax Number

Provider Enumeration Date

07/02/2018

Last Update Date

03/10/2024

Address

1704 Center Dr Apt 2

City

Midwest City

State

Oklahoma

Zip

73110-2869

Phone Number

405-679-7979

Fax Number

Address

1704 Center Dr Apt 2

City

Midwest City

State

Oklahoma

Zip

73110-2869

Phone Number

405-679-7979

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

()

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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