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JACQUELINE RENEE CLARK BA, HRC
NPI 1548452956
Counselor in Holdenville, OK

Active since August 10, 2007
118 E MAIN ST, HOLDENVILLE, OK 74848(405) 379-5256 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Renee Clark Ba, Hrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE RENEE CLARK BA, HRC (NPI 1548452956) is an individual counselor in Holdenville, Oklahoma and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1548452956
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACQUELINE RENEE CLARKCredential: BA, HRC
Location Address118 E MAIN STHoldenville, OK 74848-3208
Mailing Address17964 County Road 1500Ada, OK 74820-4717
Phone(405) 379-5256
Sole ProprietorYes
Enumeration DateAugust 10, 2007
✔ NPI 1548452956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
118 E MAIN ST, Holdenville, OK 74848
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ITHA JOYCE GRAY ICADC
Counselor (Addiction (Substance Use Disorder))
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5256
JERRY CONLEY II
Peer Specialist
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5381
OKLAHOMA FAMILIES FIRST INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 360-2133
SHELLEY BYRD
Peer Specialist
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5256
JENNIFER RUSSELL
Peer Specialist
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5256
ASHLEIGH LOUISE HALTERMAN
Case Manager/Care Coordinator
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Clark's NPI number?

The NPI number for Jacqueline Clark is 1548452956. It was assigned to this individual provider in the NPPES registry on August 10, 2007.

Where is Jacqueline Clark located?

Jacqueline Clark practices at 118 E Main St, Holdenville, OK 74848. The listed phone number is (405) 379-5256.

What is Jacqueline Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Clark was last updated on August 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.