| Richard C Clark Iii, MDCAC | |
|
800 Pineview Dr, Hattiesburg, MS 39401-7459 | |
| (601) 705-1901 | |
| Not Available |
| Full Name | Richard C Clark Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 800 Pineview Dr, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285866079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AD97-012C (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Clark Iii, MDCAC 800 Pineview Dr, Hattiesburg, MS 39401-7459 Ph: (601) 705-1901 | Richard C Clark Iii, MDCAC 800 Pineview Dr, Hattiesburg, MS 39401-7459 Ph: (601) 705-1901 |
Frances L Miller, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Cari Ann Gaunt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Pine St Ste C, Hattiesburg, MS 39401 Phone: 601-466-9296 | |
Sabrina Nicole Barnes, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Woodstone Plz Ste D, Hattiesburg, MS 39402 Phone: 769-390-7234 | |
Phyllis A Grinstead, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901 | |
Ms. Amy Ricedorf, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4507 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-545-2925 Fax: 601-545-2926 | |
Jessica Robinett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Pine St, Hattiesburg, MS 39401 Phone: 601-268-8796 | |
Anna Kathleen Oglesby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Highpointe Dr, Hattiesburg, MS 39402 Phone: 817-999-2624 |