SearchWisconsinAddiction (Substance Use Disorder) Counselor

Mark Randolph, CSAC, CSIT, LADC

NPI 1689454084 · on the registry since 2023 · sole proprietor

Practice

Address
405 Stageline Rd
Hudson, WI 54016
Phone
(715) 531-6210
Fax
(715) 531-6755
Organisation at this address
Hudson Hospital
Hudson Hospital, Inc.
Hudson Hospital, Inc.
Hudson Hospital, Inc.
Hudson Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin