Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL EUGENE CLECKLER, LCSW
Active Sole ProprietorAdult Mental Health Clinic · FORT PAYNE, AL
Registration Details
- NPI Number
- 1922152586
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.244833481889 yrs)
- Last Updated
- Jul 10, 2008
- Licenses
-
1167C (AL)1167C (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 GAULT AVE SFORT PAYNE, AL, 35968Browse AL providers · Browse ZIP 35968
- Phone
- 2569979356
- Fax
- 2569979314
- Primary Specialty
-
Adult Mental Health Clinic
261QM0850X
- Additional Specialty
- Adolescent and Children Mental Health Clinic
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.