person
Dewayne Randolph
Addiction (Substance Use Disorder) Counselor in Glen Allen, Virginia
NPI 1851858237

Dewayne Randolph is an Addiction (Substance Use Disorder) Counselor based in Glen Allen, VA and is specialized in Addiction (Substance Use Disorder). Dewayne Randolph practices in Glen Allen, VA. The NPI Number for Dewayne Randolph is 1851858237 and holds a License No. (Virginia).

The current practice location address for Dewayne Randolph is 1005 Telegraph Station Ln, Glen Allen, VA and can be reached out via phone at 800-648-9845.

Location: 1005 Telegraph Station Ln, Glen Allen, VA, 23060-4006
person
Provider Profile Details
NPI Number
1851858237
Provider Name
Dewayne Randolph
Credential
Provider Entity Type
Individual
Gender
Male
Address
1005 Telegraph Station Ln, Glen Allen, VA, 23060-4006
Phone Number
800-648-9845
Fax Number
Provider Enumeration Date
02/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1005 Telegraph Station Ln
City
State
Zip
23060-4006
Phone Number
800-648-9845
Fax Number
person
Provider Business Mailing Address Details
Address
1005 Telegraph Station Ln
City
State
Zip
23060-4006
Phone Number
800-648-9845
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0718000340 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
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