Clark, Ralph O

Clark, Ralph O is an sole proprietor health care provider with primary practice located at 2525 Raeford Rd Suite B, Fayetteville NC 28305-5091. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Clark, Ralph O can be contacted via phone (757) 814-8922.

Contact Information

Primary practice address
2525 Raeford Rd Suite B Fayetteville NC 28305-5091
Phone: (757) 814-8922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1551 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X A10090 North Carolina

Profile Details

NPI number 1750622627
LBN Legal business name Clark, Ralph O
Credentials LMFT, LPCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2013
Last updated Dec 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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