Individual provider · Type 1 NPI

Benjamin D. Randolph, CADCIII

Addiction (Substance Use Disorder) Counselor · Milwaukie, OR

NPI number 1225252612 Active

Practice location

10600 SE Mcloughlin Blvd Ste 207
Milwaukie, OR 97222-7428

Call (503) 901-1836 Map

Fax (503) 654-1852

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X06-07-75U (OR)

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

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About NPI 1225252612

Benjamin D. Randolph, CADCIII's National Provider Identifier is 1225252612, issued on Apr 13, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukie, OR. The record was last updated on Jan 21, 2019.