Blizzard, Randy

Blizzard, Randy is an individual health care provider with primary practice located at 2723 E Russell Rd , Las Vegas NV 89120-2426. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Blizzard, Randy can be contacted via phone (702) 248-4547.

Contact Information

Primary practice address
2723 E Russell Rd Las Vegas NV 89120-2426
Phone: (702) 248-4547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X Nevada

Profile Details

NPI number 1619138195
LBN Legal business name Blizzard, Randy
Credentials M.DIV., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Jan 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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