Individual provider · Type 1 NPI

Randall Ryan Domby

Addiction (Substance Use Disorder) Counselor · Holland, OH

NPI number 1831721117 Active

Practice location

6202 Trust Dr
Holland, OH 43528-8425

Call (419) 824-8462 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.170510 (OH)

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

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About NPI 1831721117

Randall Ryan Domby's National Provider Identifier is 1831721117, issued on Feb 5, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Holland, OH. The record was last updated on Feb 5, 2020.