Individual
DR. JULIE D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 762-3421
Mailing address
PO BOX 1021, STILLWATER, OK 74076-1021
(405) 269-6536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
11/19/2013
Last updated
04/19/2025
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