Individual
RANDELL MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 FATHER TRIBOU ST, LITTLE ROCK, AR 72205-3003
(501) 319-7623
Mailing address
9219 SIBLEY HOLE RD, LITTLE ROCK, AR 72209-8874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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