Individual
RANDY MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
224 HAYDEN AVE, TIVERTON, RI 02878-2123
(401) 624-6942
(401) 624-6942
Mailing address
224 HAYDEN AVE, TIVERTON, RI 02878-2123
(401) 624-6942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00897
RI
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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