Individual
DR. RANDELL G TOUCHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW PHD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
462
OK
1041C0700X
Clinical Social Worker
Primary
1987
OK
1041C0700X
Clinical Social Worker
30826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100716180B
—
OK
Enumeration date
07/22/2006
Last updated
08/03/2022
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