Individual provider · Type 1 NPI

Randy Estradq, BACHELOR

Counselor · Pawtucket, RI

NPI number 1114342102 Active

Practice location

101 Bacon St
Pawtucket, RI 02860-5542

Fax (401) 722-5280

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114342102

Randy Estradq, BACHELOR's National Provider Identifier is 1114342102, issued on Feb 27, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pawtucket, RI. The record was last updated on Feb 27, 2014.