Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK HAMPTON RANDOLPH, CSAC, CSIT, LADC
Active Sole ProprietorMARK HAMPTON RANDOLPH, CSAC, CSIT, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in HUDSON, Wisconsin. NPI 1689454084 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · HUDSON, WI
Registration Details
- NPI Number
- 1689454084
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2023 (2.8366257666156 yrs)
- Last Updated
- Oct 3, 2023
- License
-
16008-132 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
405 STAGELINE RDHUDSON, WI, 540161793Browse WI providers · Browse ZIP 54016
- Phone
- 7155316210
- Fax
- 7155316755
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in HUDSON, WI
| Name | Credential | NPI |
|---|---|---|
| BRIAN BARTLETT | MS | 1952939431 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.