Coley, Randi

Coley, Randi is an individual health care provider with primary practice located at 12942 Page Ct , Blue Island IL 60406-2747. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Coley, Randi can be contacted via phone (708) 593-4412.

Contact Information

Primary practice address
12942 Page Ct Blue Island IL 60406-2747
Phone: (708) 593-4412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 27660 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1013283993
LBN Legal business name Coley, Randi
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Jul 10th, 2012 - about 13 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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