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

Richard C Clark III, MDCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285866079

Richard C Clark III, MDCAC is an Addiction (Substance Use Disorder) Counselor in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009

Practice location Address checks out

800 Pineview Dr
Hattiesburg, MS 39401-7459
Phone: (601) 705-1901
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence AD97-012C (MS)

Record details

NPI number1285866079
Entity typeIndividual (Type 1)
GenderMale
Credentials MDCAC
Sole proprietorNo
NPI enumeratedAugust 13, 2009
Last updated in NPPESAugust 13, 2009

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