Individual
MR. KING RICHARD RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CADAC, ICADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADAC-1607
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICADC-122108
AZ
101YP2500X
Professional Counselor
Primary
LPC-1244
AZ
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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