person
Randolph Moody, BACSAC-S
Addiction (Substance Use Disorder) Counselor in Winchester, Virginia
NPI 1922723956

Randolph Moody is an Addiction (Substance Use Disorder) Counselor based in Winchester, VA and is specialized in Addiction (Substance Use Disorder). Randolph Moody practices in Winchester, VA and has the professional credentials of BACSAC-S. The NPI Number for Randolph Moody is 1922723956 and holds a License No. (Virginia).

The current practice location address for Randolph Moody is 290 Front Royal Pike, Winchester, VA and can be reached out via phone at 540-546-3436.

Location: 290 Front Royal Pike, Winchester, VA, 22602-7313
person
Provider Profile Details
NPI Number
1922723956
Provider Name
Randolph Moody
Credential
BACSAC-S
Provider Entity Type
Individual
Gender
Male
Address
290 Front Royal Pike, Winchester, VA, 22602-7313
Phone Number
540-546-3436
Fax Number
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
290 Front Royal Pike
City
State
Zip
22602-7313
Phone Number
540-546-3436
Fax Number
person
Provider Business Mailing Address Details
Address
290 Front Royal Pike
City
State
Zip
22602-7313
Phone Number
540-546-3436
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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