Randy Gene Clark SR.
NPI #1063939817 in West Plains, Missouri
Provider Information
- NPI Number
- 1063939817
- Entity Type
- Individual
- Name
- Randy Gene Clark SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 23, 2017
- Last Updated
- Apr 11, 2025
Practice Location
- Address
- 1639 BRUCE SMITH PKWY
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-7691
- Phone
- (417) 308-0671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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