Blizzard, Randy
Blizzard, Randy is an individual health care provider with primary practice located at 2723 E Russell Rd , Las Vegas NV 89120-2426. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Blizzard, Randy can be contacted via phone (702) 248-4547.Contact Information
Primary practice address
2723 E Russell Rd
Las Vegas NV 89120-2426
Phone: (702) 248-4547
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | Nevada | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Nevada |
Profile Details
| NPI number | 1619138195 |
|---|---|
| LBN Legal business name | Blizzard, Randy |
| Credentials | M.DIV., LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Jan 25th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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