Clark Randall, | |
748 14th Ave, Longview, WA 98632-2315 | |
(360) 200-5419 | |
Not Available |
Full Name | Clark Randall |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 748 14th Ave, Longview, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346868841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CG61088625 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Clark Randall, 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 200-5419 | Clark Randall, 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 200-5419 |
Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269 | |
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 | |
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 | |
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269 | |
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187 | |
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736 | |
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653 |