Individual
JAMES RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 COLONIAL AVE, GREENVILLE, NC 27834-1825
(252) 916-3173
Mailing address
902 COLONIAL AVE, GREENVILLE, NC 27834-1825
(252) 916-3173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21160
NC
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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