Clark, William Randolph

Clark, William Randolph is an sole proprietor health care provider with primary practice located at 12880 Hillcrest Rd J-235, Dallas TX 75230-1532. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Clark, William Randolph can be contacted via phone (214) 729-9396.

Contact Information

Primary practice address
12880 Hillcrest Rd J-235 Dallas TX 75230-1532
Phone: (214) 729-9396
Fax: (972) 385-0711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 61784 Texas

Profile Details

NPI number 1588854236
LBN Legal business name Clark, William Randolph
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2007
Last updated Jun 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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