Individual
RANDY PAUL MACSISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 CHEW ST STE 106, ALLENTOWN, PA 18102-3412
(610) 799-7113
(610) 663-3270
Mailing address
451 CHEW ST STE 106, ALLENTOWN, PA 18102-3412
(610) 799-7113
(610) 663-3270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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