Individual provider · Type 1 NPI
Randall Cole
Addiction (Substance Use Disorder) Counselor · Clearlake, CA
NPI number
1588029466
Active
Practice location
14454 Olympic Dr
Clearlake, CA 95422
Mailing address
1301 13th Ave.
Lucerne, CA 95458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1588029466
Randall Cole's National Provider Identifier is 1588029466, issued on Dec 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Oct 17, 2025.