Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randy Gene Clark Sr.

Individual provider Professional Counselor · NPI 1063939817

Randy Gene Clark Sr. is a Professional Counselor in West Plains, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1639 Bruce Smith Pkwy
West Plains, MO 65775-7691
Phone: (417) 308-0671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4670 County Road 2630, Pomona, MO 65789-8113 — (417) 274-0469

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X · Licence 202404464 (MO)

Record details

NPI number1063939817
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 23, 2017
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address45335 Sierra Hwy, Lancaster, CA 93534-1611

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