Individual provider · Type 1 NPI

Scott J. Randall

Addiction (Substance Use Disorder) Counselor · Fairborn, OH

NPI number 1982298675 Active

Practice location

302 W Main St
Fairborn, OH 45324-5037

Call (937) 281-4673 Map

Mailing address

100 Crowne Point Pl
Cincinnati, OH 45241-5427

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.186191 (OH)

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

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About NPI 1982298675

Scott J. Randall's National Provider Identifier is 1982298675, issued on Feb 24, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on Dec 16, 2024.