RICKY CLARK
Counselor
Active
Individual
NPI: 1013728146
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1013728146 is the National Provider Identifier for RICKY CLARK, a Counselor provider located in Tupelo, MS. This NPI was enumerated on January 17, 2025.
RICKY CLARK practices at 2434 S EASON BLVD, Tupelo, MS 38804.
Quick Facts
- NPI
- 1013728146
- Type
- Individual
- Enumerated
- Jan 17, 2025
- Last Updated
- Jan 17, 2025
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