Individual provider · Type 1 NPI

Randall Blake Neidhart, CADC

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1245791987 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 671-6838 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1245791987

Randall Blake Neidhart, CADC's National Provider Identifier is 1245791987, issued on Mar 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Mar 3, 2021.