RANDY MARC STINE BS, CADC, ADSAC
NPI 1154585917
Counselor - Addiction (Substance Use Disorder) in Grove, OK
Active since July 10, 2008
About Randy Marc Stine Bs, Cadc, Adsac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDY MARC STINE BS, CADC, ADSAC (NPI 1154585917) is an individual addiction (substance use disorder) provider in Grove, Oklahoma and active in the NPI registry since July 2008.
NPPES Registry Identity
NPI1154585917
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDY MARC STINECredential: BS, CADC, ADSAC
Location Address32300 S 625 RDGrove, OK 74345-1585
Mailing Address4602 Us Highway 59 NGrove, OK 74344-4229 · (918) 787-2242 · Fax (918) 786-5985
Phone(918) 787-2242
Fax(918) 786-5985
Sole ProprietorYes
Enumeration DateJuly 10, 2008
Last NPPES UpdateMarch 9, 2016
✔ NPI 1154585917 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
32300 S 625 RD, Grove, OK 74345
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
32300 S 625 RD
GROVE, OK 74345
GROVE, OK 74345
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154585917, enumerated as an "individual" on July 10, 2008.
The provider is located at 32300 S 625 RD GROVE, OK 74345 and the phone number is (918) 787-2242.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
