MR. Randi Maurice Labrousse, BS-CADC 1

NPI #1982038576 in Keizer, Oregon

Provider Information

NPI Number: 1982038576
Entity Type: Individual
Name: MR. Randi Maurice Labrousse, BS-CADC 1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: BS-CADC 1
Enumeration Date: Aug 30, 2013
Last Updated: Aug 30, 2013

Practice Location

Address: 1776 MEADOWLARK DR NE
City: Keizer
State: Oregon
ZIP Code: 97303-1951
Phone: (503) 400-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Social Worker	104100000X

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