Individual
RANDAL DAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 LEAHY ST STE 210B, MUSKEGON, MI 49442-5542
(231) 855-0381
(231) 672-8407
Mailing address
1675 LEAHY ST STE 210B, MUSKEGON, MI 49442-5542
(231) 672-3305
(231) 672-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-04741
MI
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
12/12/2023
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