Individual
CARRIE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
224 S HARBINE AVE, DAYTON, OH 45403-2718
(937) 232-2997
Mailing address
224 S HARBINE AVE, DAYTON, OH 45403-2718
(937) 232-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
APS.004490
OH
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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