Individual
RANDAL RATZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
670 SPUR 156, WASKOM, TX 75692-9129
(903) 687-2586
Mailing address
670 SPUR 156, WASKOM, TX 75692-9129
(903) 687-2586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12963
TX
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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