Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDY BROCKMAN, CAADE 1711108

Active Sole Proprietor

MR. RANDY BROCKMAN, CAADE 1711108 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in REDWOOD CITY, California. NPI 1710400916 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · REDWOOD CITY, CA

Registration Details

NPI Number: 1710400916
Provider Type: Individual
Gender: Male
NPI Issued: Jul 19, 2017 (9.0579018336838 yrs)
Last Updated: Jul 19, 2017
Sole Proprietor: Yes

Practice Information

Address: 609 PRICE AVE

REDWOOD CITY, CA, 940631463
Browse CA providers · Browse ZIP 94063
Phone: 6505919623
Fax: 6505914163
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in REDWOOD CITY, CA

Name	Credential	NPI
MR. DANI REYES	R.A.S.	1235329152
MR. DONALD ESTRADA	—	1124205976
JOSEPH NICK MACEDO	CAADC II	1437440211
WENDY VROMAN	CATC	1083900807
MARIANA GARCIA	CATC INTERN	1902192974
MR. JAMES JOHNSTON THOMSON	BS, CATC, CERT ED	1083901730

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.