IDA RANDALL
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1184854606
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 1745-01 (CO) |
Frequently Asked Questions
NPI 1184854606 is the National Provider Identifier for IDA RANDALL, a Counselor - Addiction (Substance Use Disorder) provider located in Colorado Springs, CO. This NPI was enumerated on July 17, 2009.
IDA RANDALL practices at 2860 S CIRCLE DR STE 220, Colorado Springs, CO 80906.
Quick Facts
- NPI
- 1184854606
- Type
- Individual
- Enumerated
- Jul 17, 2009
- Last Updated
- Jan 31, 2020
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