Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Keyshawn Randolph

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1023953171

Nicole Keyshawn Randolph is an Addiction (Substance Use Disorder) Counselor in Downey, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

11500 Paramount Blvd
Downey, CA 90241-4530
Phone: (310) 350-5397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 25555 (CA)

Record details

NPI number1023953171
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 22, 2026

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