Individual provider · Type 1 NPI

Nichole M. Randerson, BS, MA

Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI number 1336398767 Active

Practice location

4000 W Spencer St
Appleton, WI 54914-4015

Fax (920) 735-9050

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 1336398767

Nichole M. Randerson, BS, MA's National Provider Identifier is 1336398767, issued on Sep 10, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Sep 10, 2008.