Individual provider · Type 1 NPI
Randall Wayne Hoffman, LADC
Addiction (Substance Use Disorder) Counselor · Preston, MN
NPI number
1720110406
Active
Practice location
124 Main Street
Preston, MN 55965
Fax (507) 765-2252
Mailing address
217 Plum St, Armory Center Suite 220
Red Wing, MN 55066-2351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301276 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1720110406
Randall Wayne Hoffman, LADC's National Provider Identifier is 1720110406, issued on Mar 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Preston, MN. The record was last updated on Jul 8, 2007.