Mr. Randy Brockman, CAADE1711108
Mr. Randy Brockman, CAADE1711108 is an Addiction (Substance Use Disorder) Counselor in Redwood City, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
609 Price AveRedwood City, CA 94063-1463
Phone: (650) 591-9623
Fax: (650) 591-4163
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1710400916 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CAADE1711108 |
| Sole proprietor | Yes |
| NPI enumerated | July 19, 2017 |
| Last updated in NPPES | July 19, 2017 |
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