Most Relevant Information
Provider Data
| NPI Number: | 1003326653 |
| Provider Name: | RANDY WAYNE CABLE LISW, LICDC, PRS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LICDC.162366 |
Most Important Dates
| Enumeration Date: | 10/10/2017 |
| Last Updated: | 05/06/2024 |
Provider Practice Location
117 N 4TH ST
IRONTON
OH
456381403
Practice Location Phone/Fax
| Phone: | 7402374981 |
| Fax: |
Provider Mailing Location
117 N 4TH ST
IRONTON
OH
456381403
Provider Mailing Phone/Fax
| Phone: | 7402374981 |
| Fax: |