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Mr. Randall Ryan Domby
Addiction (Substance Use Disorder) Counselor in Holland, Ohio
NPI 1831721117

Randall Ryan Domby is an Addiction (Substance Use Disorder) Counselor based in Holland, OH and is specialized in Addiction (Substance Use Disorder). Randall Ryan Domby practices in Holland, OH. The NPI Number for Randall Ryan Domby is 1831721117 and holds a License No. CDCA.170510 (Ohio).

The current practice location address for Randall Ryan Domby is 6202 Trust Dr, Holland, OH and can be reached out via phone at 419-824-8462.

Location: 6202 Trust Dr, Holland, OH, 43528-8425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831721117
Provider Name
Randall Ryan Domby
Credential
Provider Entity Type
Individual
Gender
Male
Address
6202 Trust Dr, Holland, OH, 43528-8425
Phone Number
419-824-8462
Fax Number
Provider Enumeration Date
02/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6202 Trust Dr
City
Holland
State
Ohio
Zip
43528-8425
Phone Number
419-824-8462
Fax Number
person
Provider Business Mailing Address Details
Address
6202 Trust Dr
City
Holland
State
Ohio
Zip
43528-8425
Phone Number
419-824-8462
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.170510 (Ohio)
Definition
Definition to come...
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