Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerod Clark

Individual provider Mental Health Counselor · NPI 1952015141

Jerod Clark is a Mental Health Counselor in Cleveland, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

907 W Caddo St
Cleveland, OK 74020-4201
Phone: (918) 607-5576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1952015141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 11, 2023
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023
Mailing address907 W Caddo St, Cleveland, OK 74020-4201

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