person
Randall Blake Neidhart, CADC
Addiction (Substance Use Disorder) Counselor in Roseburg, Oregon
NPI 1245791987

Randall Blake Neidhart is an Addiction (Substance Use Disorder) Counselor based in Roseburg, OR and is specialized in Addiction (Substance Use Disorder). Randall Blake Neidhart practices in Roseburg, OR and has the professional credentials of CADC. The NPI Number for Randall Blake Neidhart is 1245791987 and holds a License No. (Oregon).

The current practice location address for Randall Blake Neidhart is 621 W Madrone St, Roseburg, OR and can be reached out via phone at 541-671-6838. You can also correspond with Randall Blake Neidhart through the mailing address at 621 W MADRONE ST, ROSEBURG, OR - 97470-3090 (mailing address contact number: 541-671-6838).

Location: 621 W Madrone St, Roseburg, OR, 97470-3090
person
Provider Profile Details
NPI Number
1245791987
Provider Name
Randall Blake Neidhart
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
621 W Madrone St, Roseburg, OR, 97470-3090
Phone Number
541-671-6838
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621 W Madrone St
City
State
Zip
97470-3090
Phone Number
541-671-6838
Fax Number
person
Provider Business Mailing Address Details
Address
621 W Madrone St
City
State
Zip
97470-3090
Phone Number
541-671-6838
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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