Individual
MR. RANDY FITZGERALD HINES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RA
Contact information
Practice address
300 HOLBERT AVE, FAIRMONT, WV 26554-3224
(304) 363-2228
Mailing address
300 HOLBERT AVE, FAIRMONT, WV 26554-3224
(304) 363-2228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WV
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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