Individual provider · Type 1 NPI
Randall W. Rutherford
Addiction (Substance Use Disorder) Counselor · Tucson, AZ
NPI number
1053242164
Active
Practice location
2030 E Speedway Blvd Ste 118
Tucson, AZ 85719-4750
Mailing address
4109 E Sunrise Dr, Apt 1504
Tucson, AZ 85718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LIAC-155415 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053242164
Randall W. Rutherford's National Provider Identifier is 1053242164, issued on May 27, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tucson, AZ. The record was last updated on May 27, 2026.