Individual provider · Type 1 NPI
Cole Randa; Carroll, LCDC-I
Addiction (Substance Use Disorder) Counselor · Houston, TX
NPI number
1811525512
Active
Practice location
1619 Castle Ct
Houston, TX 77006-5707
Mailing address
5803 Sylvan Grove Dr
Kingwood, TX 77345-1786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 45476 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811525512
Cole Randa; Carroll, LCDC-I's National Provider Identifier is 1811525512, issued on Mar 29, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Houston, TX. The record was last updated on Mar 29, 2020.