Individual provider · Type 1 NPI

Randy Leroy Cousineau, CAADC, LPC, MLSW

Addiction (Substance Use Disorder) Counselor · Muskegon, MI

NPI number 1104177047 Active

Practice location

1823 Commerce St.
Muskegon, MI 49411

Call (231) 728-2138 Map

Fax (231) 722-4771

Mailing address

1823 Commerce St., West Michigan Therapy
Muskegon, MI 49441

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X6401001535 (MI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X206486 (MI)
Social Worker 104100000X6801057570 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104177047

Randy Leroy Cousineau, CAADC, LPC, MLSW's National Provider Identifier is 1104177047, issued on Oct 1, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Muskegon, MI. The record was last updated on Oct 1, 2012.