MR. King Richard Randell, LPC, CADAC, ICADC

NPI #1790095313 in Benson, Arizona

Provider Information

NPI Number
1790095313
Entity Type
Individual
Name
MR. King Richard Randell, LPC, CADAC, ICADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC, CADAC, ICADC
Enumeration Date
Oct 15, 2010
Last Updated
Oct 15, 2010

Practice Location

Address
590 S OCOTILLO AVE
City
Benson
State
Arizona
ZIP Code
85602-6405
Phone
(520) 586-7080

Specialties & Taxonomy Codes

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

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