Richard, Randall L

Richard, Randall L is an sole proprietor health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Richard, Randall L can be contacted via phone (800) 244-4691.

Contact Information

Primary practice address
1115 W Chestnut St Brockton MA 02301-7501
Phone: (800) 244-4691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Massachusetts
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Massachusetts
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Massachusetts
Behavioral Health & Social Service Providers / Professional 101YP2500X Massachusetts

Profile Details

NPI number 1205129988
LBN Legal business name Richard, Randall L
Credentials MA, MTH, MFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2011
Last updated May 27th, 2011 - about 15 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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