Individual provider · Type 1 NPI
Leah Susan Randolph, LADC I, MM
Addiction (Substance Use Disorder) Counselor · Dorchester, MA
NPI number
1194034835
Active
Practice location
21 Waumbeck St
Dorchester, MA 02121-1220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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- Selene Cerulli, BAAddiction (Substance Use Disorder) Counselor Dorchester, MA NPI 1609323674
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- Angela TaylorAddiction (Substance Use Disorder) Counselor Dorchester, MA NPI 1902355027
- James M. Lavash, LICSWAddiction (Substance Use Disorder) Counselor Dorchester, MA NPI 1922167089
- Todd C. Payton, MAAddiction (Substance Use Disorder) Counselor Dorchester, MA NPI 1922264258
About NPI 1194034835
Leah Susan Randolph, LADC I, MM's National Provider Identifier is 1194034835, issued on Sep 29, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dorchester, MA. The record was last updated on Sep 29, 2010.