MR. John Randolph Clark, LPC

NPI #1588786529 in Benbrook, Texas

Provider Information

NPI Number
1588786529
Entity Type
Individual
Name
MR. John Randolph Clark, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Apr 3, 2007
Last Updated
Jan 5, 2012

Practice Location

Address
8100 HERNDON DR
State
Texas
ZIP Code
76116-8539
Phone
(817) 304-3261

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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