Individual provider · Type 1 NPI

Randy Gene Clark Sr.

Addiction (Substance Use Disorder) Counselor · West Plains, MO

NPI number 1063939817 Active

Practice location

1639 Bruce Smith Pkwy
West Plains, MO 65775-7691

Call (417) 308-0671 Map

Mailing address

45335 Sierra Hwy
Lancaster, CA 93534-1611

Other practice locations

  • 4670 County Road 2630, Pomona, MO 65789-8113 · (417) 274-0469

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X202404464 (MO)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

10 other providers at this address

Other addiction (substance use disorder) counselor providers in West Plains

See all in West Plains →

About NPI 1063939817

Randy Gene Clark Sr.'s National Provider Identifier is 1063939817, issued on Aug 23, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Plains, MO. The record was last updated on Apr 11, 2025.