| NPI | 1225899628 |
|---|---|
| Professional Name | RANDALL CRAVENS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 17024) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |