Individual provider · Type 1 NPI

Richard C. Clark Iii, MDCAC

Addiction (Substance Use Disorder) Counselor · Hattiesburg, MS

NPI number 1285866079 Active

About NPI 1285866079

Richard C. Clark Iii, MDCAC's National Provider Identifier is 1285866079, issued on Aug 13, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 13, 2009.