Scott J Randall

NPI #1982298675 in Fairborn, Ohio

Provider Information

NPI Number: 1982298675
Entity Type: Individual
Name: Scott J Randall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Feb 24, 2021
Last Updated: Dec 16, 2024

Practice Location

Address: 302 W MAIN ST
City: Fairborn
State: Ohio
ZIP Code: 45324-5037
Phone: (937) 281-4673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Case Manager/Care Coordinator	171M00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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