Clark, Gina

Clark, Gina is an individual health care provider with primary practice located at 800 E 6Th Ave Ste B , Stillwater OK 74074-3732. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Gina can be contacted via phone (405) 372-1250.

Contact Information

Primary practice address
800 E 6Th Ave Ste B Stillwater OK 74074-3732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3797 Oklahoma

Profile Details

NPI number 1023151784
LBN Legal business name Clark, Gina
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Apr 27th, 2015 - about 10 years ago

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.

Request for update

Popular Providers