Individual provider · Type 1 NPI
Melinda Lucille Randall, LADC LSW
Addiction (Substance Use Disorder) Counselor · Sparks, NV
NPI number
1770820300
Active
Practice location
115 O St
Sparks, NV 89431-3251
Fax (775) 787-9445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 703 (NV) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1770820300
Melinda Lucille Randall, LADC LSW's National Provider Identifier is 1770820300, issued on Jan 16, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sparks, NV. The record was last updated on Jan 16, 2013.