Individual
TIFFANY NICOLE RANDAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
327 1ST AVE NW, HICKORY, NC 28601-6122
(828) 695-5900
(828) 695-4256
Mailing address
327 1ST AVE NW, HICKORY, NC 28601-6122
(828) 695-5900
(828) 695-4256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22810
NC
Other
Enumeration date
06/20/2016
Last updated
01/16/2020
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