IndividualActive
Kendell Clark, MS, LPC, NCC
NPI 1811294176 · Professional Counselor · Frederick, OK
Provider details
- NPI number
- 1811294176
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MS, LPC, NCC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
1118 North 13th Street
Frederick, OK 73542-1605
Phone: (580) 335-4860
Approximate (ZIP-level) locationGet directions
Mailing address
400 Sunnybrook Dr
Frederick, OK 73542-4013
Registry dates
- Enumerated
- 2011-02-23
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.