Individual
RANDALL STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 975-7335
Mailing address
8415 LOCKSLEY DR, HARRISBURG, NC 28075-6662
(704) 975-7335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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