Individual
MR. RANDY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCAS, CSI, MAC
Contact information
Practice address
1058 W CLUB BLVD, SUITE 616, DURHAM, NC 27701-1104
(984) 219-7056
(984) 219-7056
Mailing address
1058 W CLUB BLVD, SUITE 616, DURHAM, NC 27701-1104
(984) 219-7056
(984) 219-7056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112124
—
NC
Enumeration date
01/28/2010
Last updated
01/11/2017
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