| Randy W Clark, | |
|
14911 Se 73rd Ave, Summerfield, FL 34491-4225 | |
| (352) 789-2908 | |
| Not Available |
| Full Name | Randy W Clark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 14911 Se 73rd Ave, Summerfield, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134086986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP.0100612 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randy W Clark, 14911 Se 73rd Ave, Summerfield, FL 34491-4225 Ph: (352) 789-2908 | Randy W Clark, 14911 Se 73rd Ave, Summerfield, FL 34491-4225 Ph: (352) 789-2908 |
Brittany Elise Johnson, Counselor Medicare: Accepting Medicare Assignments Practice Location: 4050 Se 145th St, Summerfield, FL 34491 Phone: 405-922-8735 | |
Mrs. Karen Mauro Rogers, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16910 S. Us Highway 441, Unit 206, Summerfield, FL 34491 Phone: 352-653-7251 | |
Mrs. Loire Ann Bennett, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15151 S Us Highway 441, Summerfield, FL 34491 Phone: 352-304-3148 | |
Marco R Macaluso, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14460 Se 97th Ter, Summerfield, FL 34491 Phone: 719-569-0890 |