MR. RANDY BROCKMAN, CAADE 1711108

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1710400916

Practice Address

609 PRICE AVE
Redwood City, CA 94063

Phone: (650) 591-9623

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1710400916 is the National Provider Identifier for MR. RANDY BROCKMAN, CAADE 1711108, a Counselor - Addiction (Substance Use Disorder) provider located in Redwood City, CA. This NPI was enumerated on July 19, 2017.
MR. RANDY BROCKMAN, CAADE 1711108 practices at 609 PRICE AVE, Redwood City, CA 94063.

Quick Facts

NPI
1710400916
Type
Individual
Enumerated
Jul 19, 2017
Last Updated
Jul 19, 2017

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