Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY GENE CLARK SR.
Active Sole ProprietorRANDY GENE CLARK SR. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WEST PLAINS, Missouri. NPI 1063939817 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WEST PLAINS, MO
Registration Details
- NPI Number
- 1063939817
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2017 (8.9562821385739 yrs)
- Last Updated
- Apr 11, 2025
- License
-
202404464 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1639 BRUCE SMITH PKWYWEST PLAINS, MO, 657757691Browse MO providers · Browse ZIP 65775
- Phone
- 4173080671
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in WEST PLAINS, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. KAREN MARIE WILL | MS, RSAP | 1558498014 |
| MRS. WENDRA L DUNKIN | CSAC II | 1134328917 |
| DIANE LEDGERWOOD | — | 1952573966 |
| JESSICA STAHL | RASAC | 1689829442 |
| MRS. JEANNIE RHOADS-ASHLEY | CCDP | 1053558338 |
| PROF. JAMES L GILLUM | MS LPC CRADC CCDP-D | 1831533116 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.