Individual
RANDALL DEAN ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Contact information
Practice address
650 JOEL DR, CAB EBH, FORT CAMPBELL, KY 42223-5349
(270) 956-0620
(270) 956-0247
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5349
(270) 798-5179
(270) 798-6075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1957
NC
104100000X
Social Worker
Primary
C005939
NC
Other
Enumeration date
01/28/2008
Last updated
10/25/2023
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