Individual provider · Type 1 NPI

Laurie Jean Randall, LAC, RN

Addiction (Substance Use Disorder) Counselor · Missoula, MT

NPI number 1144454810 Active

Practice location

1325 Wyoming St
Missoula, MT 59801-1725

Call (406) 532-9800 Map

Mailing address

T-9 Fort Missoula
Missoula, MT 59804-7202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1239 (MT)
Registered Nurse 163W00000X16052 (MT)

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

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About NPI 1144454810

Laurie Jean Randall, LAC, RN's National Provider Identifier is 1144454810, issued on May 11, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Missoula, MT. The record was last updated on May 11, 2009.