Clark, Kendell Elaine

Clark, Kendell Elaine is an individual health care provider with primary practice located at 1118 North 13Th Street , Frederick OK 73542-1605. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clark, Kendell Elaine can be contacted via phone (580) 335-4860.

Contact Information

Primary practice address
1118 North 13Th Street Frederick OK 73542-1605
Phone: (580) 335-4860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1811294176
LBN Legal business name Clark, Kendell Elaine
Credentials MS, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2011
Last updated Jul 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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