Jon Douglas Clark
Jon Douglas Clark is a Peer Specialist in Tahlequah, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2025
Practice location Address checks out
21275 Stick Ross Mountain RdTahlequah, OK 74464-7343
Phone: (918) 931-3700
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OK) |
|---|
Record details
| NPI number | 1942172317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 23, 2025 |
| Last updated in NPPES | September 23, 2025 |
| Certification date | September 23, 2025 |
| Mailing address | 21275 Stick Ross Mountain Rd, Tahlequah, OK 74464-7343 |
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