RICHARD CLARK

OMAHA, NE
NPI1770831901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  1825)
Enumeration Date2012-08-20
Last Update Date2023-08-04
Business Address
RICHARD CLARK
4611 S 96TH ST STE 222
OMAHA, NE 68127-1243
Phone number: 402-616-5139
Mailing Address
RICHARD CLARK
2902 JACK PINE ST
BELLEVUE, NE 68123-5519
Phone number: 402-616-5139