Individual
CHRISTINE RANDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 MAIN ST, HACKENSACK, NJ 07601-7143
(201) 487-4700
Mailing address
209 COMLY RD APT I17, LINCOLN PARK, NJ 07035-1170
(862) 881-5194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00127800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183385
—
NJ
Enumeration date
07/20/2021
Last updated
07/20/2021
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