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Individual
DR. RANDALL MARTIN KAHAN
Active
Individual
DR. RANDALL MARTIN KAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCDC, BCD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9121
TX
1041C0700X
Clinical Social Worker
Primary
00915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071278801
—
TX
01
—
58318
AMERICAN BOARD OF EXAMINERS IN CLINICAL SOCIAL WORK BCD
—
Enumeration date
01/16/2006
Last updated
05/07/2018
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