Individual
PAMELA L WIZNER-RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC
Contact information
Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 775-1366
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 775-1366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401006060
MI
101YM0800X
Mental Health Counselor
Primary
6401006060
MI
101YP2500X
Professional Counselor
6401006060
MI
Other
Enumeration date
09/18/2008
Last updated
07/23/2024
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