person
Richard C Clark III, MDCAC
Addiction (Substance Use Disorder) Counselor in Hattiesburg, Mississippi
NPI 1285866079

Richard C Clark III is an Addiction (Substance Use Disorder) Counselor based in Hattiesburg, MS and is specialized in Addiction (Substance Use Disorder). Richard C Clark III practices in Hattiesburg, MS and has the professional credentials of MDCAC. The NPI Number for Richard C Clark III is 1285866079 and holds a License No. AD97-012C (Mississippi).

The current practice location address for Richard C Clark III is 800 Pineview Dr, Hattiesburg, MS and can be reached out via phone at 601-705-1901. You can also correspond with Richard C Clark III through the mailing address at 800 PINEVIEW DR, HATTIESBURG, MS - 39401-7459 (mailing address contact number: 601-705-1901).

Location: 800 Pineview Dr, Hattiesburg, MS, 39401-7459
person
Provider Profile Details
NPI Number
1285866079
Provider Name
Richard C Clark III
Credential
MDCAC
Provider Entity Type
Individual
Gender
Male
Address
800 Pineview Dr, Hattiesburg, MS, 39401-7459
Phone Number
601-705-1901
Fax Number
Provider Enumeration Date
08/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Pineview Dr
City
State
Zip
39401-7459
Phone Number
601-705-1901
Fax Number
person
Provider Business Mailing Address Details
Address
800 Pineview Dr
City
State
Zip
39401-7459
Phone Number
601-705-1901
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
AD97-012C (Mississippi)
Definition
Definition to come...
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