NPI Profile for RANDY L COUSINEAU in MUSKEGON, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Social Worker |
104100000X |
| NPI Number | 1104177047 |
|
| Status | Active | |
| Credentials | CAADC, LPC, MLSW | |
| Entity | Individual | |
| Enumeration date | 10/01/2012 | |
| Last updated | 10/01/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RANDY L COUSINEAU
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