RANDOLPH MOODY

WINCHESTER, VA
NPI1922723956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-10-12
Last Update Date2022-10-12
Business Address
RANDOLPH MOODY B.A CSAC-S
290 FRONT ROYAL PIKE
WINCHESTER, VA 22602-7313
Phone number: 540-546-3436
Mailing Address
RANDOLPH MOODY B.A CSAC-S
290 FRONT ROYAL PIKE
WINCHESTER, VA 22602-7313
Phone number: 540-546-3436