Individual provider · Type 1 NPI

Randall Wayne Gulliford, CPS, CSS, MAADC1

Addiction (Substance Use Disorder) Counselor · Nevada, MO

NPI number 1679481691 Active

Practice location

815 S Ash St
Nevada, MO 64772-3222

Call (417) 667-8352 Map

Fax (417) 667-9216

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22011 (MO)

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

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About NPI 1679481691

Randall Wayne Gulliford, CPS, CSS, MAADC1's National Provider Identifier is 1679481691, issued on Aug 31, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nevada, MO. The record was last updated on Aug 31, 2026.