person
Mr. Randall P. Spangle, CSAC,ICS
Addiction (Substance Use Disorder) Counselor in Ashland, Wisconsin
NPI 1871613943

Randall P. Spangle is an Addiction (Substance Use Disorder) Counselor based in Ashland, WI and is specialized in Addiction (Substance Use Disorder). Randall P. Spangle practices in Ashland, WI and has the professional credentials of CSAC,ICS. The NPI Number for Randall P. Spangle is 1871613943 and holds a License No. 7044-135 (Wisconsin).

The current practice location address for Randall P. Spangle is 502 Main St W Ste 305, Ashland, WI and can be reached out via phone at 715-682-5207 and via fax at 715-682-5209.

Location: 502 Main St W Ste 305, Ashland, WI, 54806
person
Provider Profile Details
NPI Number
1871613943
Provider Name
Randall P. Spangle
Credential
CSAC,ICS
Provider Entity Type
Individual
Gender
Male
Address
502 Main St W Ste 305, Ashland, WI, 54806
Phone Number
715-682-5207
Fax Number
715-682-5209
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39317500 05 WI
institution
Provider Business Practice Location Address Details
Address
502 Main St W Ste 305
City
State
Zip
54806-1512
Phone Number
715-682-5207
Fax Number
715-682-5209
person
Provider Business Mailing Address Details
Address
502 Main St W Ste 305
City
State
Zip
54806-1512
Phone Number
715-682-5207
Fax Number
715-682-5209
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7044-135 (Wisconsin)
Definition
Definition to come...
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