Individual
MR. RANDOLPH SCOTT HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC/:ISAC
Contact information
Practice address
1305 SPURLOCK AVE, HOLBROOK, AZ 86025-1960
(520) 249-8428
Mailing address
1305 SPURLOCK AVE, HOLBROOK, AZ 86025-1960
(520) 249-8428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC -12687
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10504
AZ
Other
Enumeration date
01/19/2009
Last updated
08/31/2023
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