person
Jeffrey Blaine Randall, CDCA
Addiction (Substance Use Disorder) Counselor in Springfield, Ohio
NPI 1730707480

Jeffrey Blaine Randall is an Addiction (Substance Use Disorder) Counselor based in Springfield, OH and is specialized in Addiction (Substance Use Disorder). Jeffrey Blaine Randall practices in Springfield, OH and has the professional credentials of CDCA. The NPI Number for Jeffrey Blaine Randall is 1730707480 and holds a License No. CDCA.172965 (Ohio).

The current practice location address for Jeffrey Blaine Randall is 4867 Urbana Rd, Springfield, OH and can be reached out via phone at 937-971-7358 and via fax at 937-717-5995.

Location: 4867 Urbana Rd, Springfield, OH, 45502
person
Provider Profile Details
NPI Number
1730707480
Provider Name
Jeffrey Blaine Randall
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
4867 Urbana Rd, Springfield, OH, 45502
Phone Number
937-971-7358
Fax Number
937-717-5995
Provider Enumeration Date
07/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4867 Urbana Rd
City
State
Zip
45502
Phone Number
937-971-7358
Fax Number
937-717-5995
person
Provider Business Mailing Address Details
Address
4867 Urbana Rd
City
State
Zip
45502
Phone Number
937-971-7358
Fax Number
937-717-5995
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.172965 (Ohio)
Definition
Definition to come...
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