MS. Leah Susan Randolph, LADC I, MM
NPI #1194034835 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1194034835
- Entity Type
- Individual
- Name
- MS. Leah Susan Randolph, LADC I, MM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC I, MM
- Enumeration Date
- Sep 29, 2010
- Last Updated
- Sep 29, 2010
Practice Location
- Address
- 21 WAUMBECK ST
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02121-1220
- Phone
- (617) 291-3623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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