Doctor Name: | RANDY MOATE |
NPI Number: | 1639439581 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LPC |
License Number: | C.1200121 |
Business Practice Address: | 230 S Court St 5 Medina, OH - 442562275 |
Business Phone Number: | 3307237977 |
Business Fax Number: | 3307255177 |
Mailing Address: | 230 S Court St, 5 MEDINA |
State: | OH |
Postal Code: | 442562275 |
Phone Number: | 3307237977 |
Fax Number: | 3307255177 |
NPI Enumeration Date: | 05/25/2012 |
NPI Last Update Date: | 05/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C.1200121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |