RANDY CLARK SR.
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1063939817
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | No | 202404464 (MO) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1063939817 is the National Provider Identifier for RANDY CLARK SR., a Counselor - Addiction (Substance Use Disorder) provider located in West Plains, MO. This NPI was enumerated on August 23, 2017.
RANDY CLARK SR. practices at 1639 BRUCE SMITH PKWY, West Plains, MO 65775.
Quick Facts
- NPI
- 1063939817
- Type
- Individual
- Enumerated
- Aug 23, 2017
- Last Updated
- Apr 11, 2025
Nearby Providers
-
WEST PLAINS HEALTH SERVICE, INC.
Durable Medical Equipment & Medical Supplies
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DR. BRUCE PRESTON, MD
Family Medicine
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DR. SAMUEL EVANS, M.D.
Family Medicine - Adult Medicine
-
CHRISTINE ADCOCK, RN, MSN, FNP
Nurse Practitioner - Family
-
MR. MARVIN JONES, MSN, CRNA
Nurse Anesthetist, Certified Registered