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Individual
RANDY WAYNE CABLE II
Active
Individual
RANDY WAYNE CABLE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, LICDC, PRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162366
OH
101YM0800X
Mental Health Counselor
QMHS
OH
1041C0700X
Clinical Social Worker
Primary
I.2405356
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
APS.003697
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481281
—
OH
Enumeration date
10/10/2017
Last updated
02/25/2026
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