Individual
BARBARA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 N CHURCH ST, GREENSBORO, NC 27405-3657
(336) 272-9990
Mailing address
1649 WOODS LN, DENVER, NC 28037-7811
(704) 280-9711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22390
NC
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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