Individual provider · Type 1 NPI

Randy Holsopple, CATC

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1366150484 Active

Practice location

132 W 10th St
San Pedro, CA 90731-3702

Mailing address

1003 S Beacon St
San Pedro, CA 90731-4324

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22179912 (CA)

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

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About NPI 1366150484

Randy Holsopple, CATC's National Provider Identifier is 1366150484, issued on Nov 8, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Nov 8, 2022.