Individual provider · Type 1 NPI

Clark Randall

Mental Health Counselor · Longview, WA

NPI number 1346868841 Active

Practice location

748 14th Ave
Longview, WA 98632-2315

Call (360) 200-5419 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG61088625 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1346868841

Clark Randall's National Provider Identifier is 1346868841, issued on Jul 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Jul 10, 2020.