Individual
MR. RANDALL ALAN CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCSW
Contact information
Practice address
4501 MACCORKLE AVE SW, STE 103, SOUTH CHARLESTON, WV 25309-1444
(304) 768-1401
(304) 768-1402
Mailing address
2262 CIRCLE DR, MILTON, WV 25541-1004
(304) 768-1401
(304) 768-1402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
94
WV
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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