Individual
CALVIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2927 N POINT CIR UNIT 1, FAYETTEVILLE, AR 72704-6811
(479) 621-0301
Mailing address
2927 N POINT CIR UNIT 1, FAYETTEVILLE, AR 72704-6811
(479) 621-0301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1809125
AR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
03/24/2026
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