Randolph Moody, BACSAC-S
Randolph Moody, BACSAC-S is an Addiction (Substance Use Disorder) Counselor in Farmington Hills, Michigan. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
27777 Inkster RdFarmington Hills, MI 48334-5310
Phone: (248) 256-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 290 Front Royal Pike, Winchester, VA 22602-7313 — (540) 546-3436
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1922723956 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BACSAC-S |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2022 |
| Last updated in NPPES | November 21, 2024 |
| Certification date | November 21, 2024 |
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