Individual
MR. PAUL FRASIER CLARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2550 MARSHALL RD STE 300, BILOXI, MS 39531-4747
(228) 207-3549
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A2208031
AR
101YM0800X
Mental Health Counselor
A2208031
AR
101YM0800X
Mental Health Counselor
Primary
P-1301
MS
Other
Enumeration date
01/10/2022
Last updated
07/21/2025
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