Individual
RANDY MARC STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, CADC, ADSAC
Contact information
Practice address
32300 S 625 RD, GROVE, OK 74345-1585
(918) 787-2242
(918) 786-5985
Mailing address
4602 US HIGHWAY 59 N, GROVE, OK 74344-4229
(918) 787-2242
(918) 786-5985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
03/09/2016
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