Individual
JAMES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCP, BHRS
Contact information
Practice address
1625 W GARRIOTT RD STE F, ENID, OK 73703-5653
(580) 242-4673
Mailing address
1625 W GARRIOTT RD STE F, ENID, OK 73703-5653
(580) 242-4673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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