Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA GAYLE CLARK
ActiveBRENDA GAYLE CLARK is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WAGONER, Oklahoma. NPI 1467679175 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WAGONER, OK
Registration Details
- NPI Number
- 1467679175
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2007 (19.298012381721 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
109 S. HARRILLWAGONER, OK, 744675317Browse OK providers · Browse ZIP 74467
- Phone
- 9184853554
- Fax
- 9184858371
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WAGONER, OK
| Name | Credential | NPI |
|---|---|---|
| MELISSA ANN MCDARIS | BA | 1700915337 |
| CHERYL LEGG | — | 1346431343 |
| JAMES C WASHINGTON | — | 1003090903 |
| JONATHAN DAVID PIERCE | — | 1740433358 |
| SHAWN WALL | — | 1649691908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.