Individual
MR. RANDALL JAMES NEISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 164TH AVE NE, BELLEVUE, WA 98008-3518
(425) 747-4937
Mailing address
6572 5TH AVE NE, SEATTLE, WA 98115-6419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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