Individual provider · Type 1 NPI

Mia Randall

Addiction (Substance Use Disorder) Counselor · Wilmington, DE

NPI number 1477189728 Active

Practice location

2713 Lancaster Ave
Wilmington, DE 19805-5220

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 1477189728

Mia Randall's National Provider Identifier is 1477189728, issued on Mar 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, DE. The record was last updated on Mar 19, 2020.