person
Mr. King Richard Randell, LPC,CADAC,ICADC
Professional Counselor in Benson, Arizona
NPI 1790095313

King Richard Randell is a Professional Counselor based in Benson, AZ and is specialized in Professional. King Richard Randell practices in Benson, AZ and has the professional credentials of LPC,CADAC,ICADC. The NPI Number for King Richard Randell is 1790095313 and holds a License No. CADAC-1607 (Arizona).

The current practice location address for King Richard Randell is 590 S Ocotillo Ave, Benson, AZ and can be reached out via phone at 520-586-7080 and via fax at 520-586-6104.

Location: 590 S Ocotillo Ave, Benson, AZ, 85602-6718
person
Provider Profile Details
NPI Number
1790095313
Provider Name
King Richard Randell
Credential
LPC,CADAC,ICADC
Provider Entity Type
Individual
Gender
Male
Address
590 S Ocotillo Ave, Benson, AZ, 85602-6718
Phone Number
520-586-7080
Fax Number
520-586-6104
Provider Enumeration Date
10/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
590 S Ocotillo Ave
City
State
Zip
85602-6405
Phone Number
520-586-7080
Fax Number
520-586-6104
person
Provider Business Mailing Address Details
Address
590 S Ocotillo Ave
City
State
Zip
85602-6405
Phone Number
520-586-7080
Fax Number
520-586-6104
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ICADC-122108 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CADAC-1607 (Arizona)
Definition
Definition to come...
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