person
Mr. Tim L Randall, LAC
Addiction (Substance Use Disorder) Counselor in Jamestown, North Dakota
NPI 1598962987

Tim L Randall is an Addiction (Substance Use Disorder) Counselor based in Ypsilanti, ND and is specialized in Addiction (Substance Use Disorder). Tim L Randall practices in Jamestown, ND and has the professional credentials of LAC. The NPI Number for Tim L Randall is 1598962987 and holds a License No. 1102 (North Dakota).

The current practice location address for Tim L Randall is 300 2Nd Ave Ne, Jamestown, ND and can be reached out via phone at 701-252-5398 and via fax at 701-252-5398. You can also correspond with Tim L Randall through the mailing address at PO BOX 286, YPSILANTI, ND - 58497-0286 (mailing address contact number: 701-489-3289).

Location: 300 2Nd Ave Ne, Jamestown, ND, 58497-0286
person
Provider Profile Details
NPI Number
1598962987
Provider Name
Tim L Randall
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
300 2Nd Ave Ne, Jamestown, ND, 58497-0286
Phone Number
701-252-5398
Fax Number
701-252-5398
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 2Nd Ave Ne
City
State
Zip
58401-3373
Phone Number
701-252-5398
Fax Number
701-252-5398
person
Provider Business Mailing Address Details
Address
300 2Nd Ave Ne
City
State
Zip
58401-3373
Phone Number
701-252-5398
Fax Number
701-252-5398
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1102 (North Dakota)
Definition
Definition to come...
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