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CLARK RANDALL
NPI 1346868841
Counselor - Mental Health in Longview, WA

Active since July 10, 2020
748 14TH AVE, LONGVIEW, WA 98632(360) 200-5419 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clark Randall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK RANDALL (NPI 1346868841) is an individual mental health provider in Longview, Washington, licensed in Washington (CG61088625) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1346868841
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLARK RANDALL
Location Address748 14TH AVELongview, WA 98632-2315
Mailing Address748 14th AveLongview, WA 98632-2315 · (360) 200-5419
Phone(360) 200-5419
Sole ProprietorNo
Enumeration DateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
✔ NPI 1346868841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · CG61088625
748 14TH AVE, Longview, WA 98632
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARENA BERISHEV
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
RACHEL A GAINES SUDP
Counselor (Addiction (Substance Use Disorder))
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CASSIDY JOHNSTON
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MISTY DAWN REED AAC, CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
KAYLEE MOE CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MS. KIMBERLEE MARIE SEALS SUDPT, AAC
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
AMANDA M KERSTETER MC, LMHC, MHP, CMHS
Counselor (Mental Health)
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
BALENDA J FRIEZE
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Randall's NPI number?

The NPI number for Clark Randall is 1346868841. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Clark Randall located?

Clark Randall practices at 748 14th Ave, Longview, WA 98632. The listed phone number is (360) 200-5419.

What is Clark Randall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Clark Randall was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.