Mark Hampton Randolph, CSAC, CSIT, LADC

NPI #1689454084 in Hudson, Wisconsin

Provider Information

NPI Number
1689454084
Entity Type
Individual
Name
Mark Hampton Randolph, CSAC, CSIT, LADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CSAC, CSIT, LADC
Enumeration Date
Oct 3, 2023
Last Updated
Oct 3, 2023

Practice Location

Address
405 STAGELINE RD
City
Hudson
ZIP Code
54016-1793
Phone
(715) 531-6210

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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