Individual provider · Type 1 NPI

Randi Hanson

Addiction (Substance Use Disorder) Counselor · Vinita, OK

NPI number 1619340262 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

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 1619340262

Randi Hanson's National Provider Identifier is 1619340262, issued on Nov 4, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vinita, OK. The record was last updated on Nov 4, 2015.