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Randall Staton

Counselor, Addiction (Substance Use Disorder) in Salisbury, NC. Individual provider (NPI-1).

NPI number1932932001
StatusActive
Last updated in NPPESAug 23, 2024

Details

NPI
1932932001
Entity type
Individual (NPI-1)
Name
Randall Staton
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 23, 2024
Certification date
Aug 23, 2024
Last updated
Aug 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

1504 Jake Alexander Blvd W
Salisbury, NC 28147-1213

Phone 704-975-7335

Mailing address

8415 Locksley Dr
Harrisburg, NC 28075-6662

Phone 704-975-7335

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