Ricky Clark
Ricky Clark is a Counselor in Tupelo, Mississippi. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2434 S Eason BlvdTupelo, MS 38804-6942
Phone: (662) 640-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1013728146 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 17, 2025 |
| Last updated in NPPES | January 17, 2025 |
| Certification date | January 17, 2025 |
| Mailing address | 2434 S Eason Blvd, Tupelo, MS 38804-6942 |
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