person
Mr. John Randolph Clark, LPC
Mental Health Counselor in Benbrook, Texas
NPI 1588786529

John Randolph Clark is a Mental Health Counselor based in Benbrook, TX and is specialized in Mental Health. John Randolph Clark practices in Benbrook, TX and has the professional credentials of LPC. The NPI Number for John Randolph Clark is 1588786529 and holds a License No. 17980 (Texas).

The current practice location address for John Randolph Clark is 8100 Herndon Dr, Benbrook, TX and can be reached out via phone at 817-304-3261.

Location: 8100 Herndon Dr, Benbrook, TX, 76116-8539
person
Provider Profile Details
NPI Number
1588786529
Provider Name
John Randolph Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
8100 Herndon Dr, Benbrook, TX, 76116-8539
Phone Number
817-304-3261
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1620460 05 TX
institution
Provider Business Practice Location Address Details
Address
8100 Herndon Dr
City
State
Zip
76116-8539
Phone Number
817-304-3261
Fax Number
person
Provider Business Mailing Address Details
Address
8100 Herndon Dr
City
State
Zip
76116-8539
Phone Number
817-304-3261
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
17980 (Texas)
Definition
Definition to come...
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