Jeffrey Blaine Randall, CDCA
Jeffrey Blaine Randall, CDCA is an Addiction (Substance Use Disorder) Counselor in Springfield, Ohio. Licensed in Ohio. Registered with an NPI since 2020.
- Licensed in
- OH
- In the registry since
- 2020
Practice location Address checks out
4867 Urbana RdSpringfield, OH 45502
Phone: (937) 971-7358
Fax: (937) 717-5995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA.172965 (OH) |
|---|
Record details
| NPI number | 1730707480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | No |
| NPI enumerated | July 9, 2020 |
| Last updated in NPPES | July 11, 2020 |
| Certification date | July 11, 2020 |
| Mailing address | 4867 Urbana Rd, Springfield, OH 45502 |
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