| Angela Clark, | |
|
1401 Irene Ln, Fort Gibson, OK 74434-8339 | |
| (539) 832-5597 | |
| Not Available |
| Full Name | Angela Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1401 Irene Ln, Fort Gibson, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558720284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Clark, 1401 Irene Ln, Fort Gibson, OK 74434-8339 Ph: (539) 832-5597 | Angela Clark, 1401 Irene Ln, Fort Gibson, OK 74434-8339 Ph: (539) 832-5597 |
James Bywater, Counselor Medicare: Medicare Enrolled Practice Location: 23118 Idlewild Ln, Fort Gibson, OK 74434 Phone: 918-816-1512 | |
James Mark Seabolt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22279 N 4 Mile Rd, Fort Gibson, OK 74434 Phone: 918-348-0061 | |
Alec Moreno, Counselor Medicare: Accepting Medicare Assignments Practice Location: 908 S Lee St Ste A, Fort Gibson, OK 74434 Phone: 918-203-3789 Fax: 918-203-3116 |