RANDY BROCKMAN CAADE 1711108 – NPI #1710400916
Counselor
RANDY BROCKMAN is a counselor located in REDWOOD CITY, CA. NPPES has assigned the NPI number 1710400916 to RANDY BROCKMAN on July 19, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 101YA0400X from the Health Care Provider Taxonomy code set, which is classified as Counselor, specializing in Addiction (Substance Use Disorder)
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NPI Profile for
RANDY BROCKMAN
(about 9 years ago)
REDWOOD CITY, CA 94063-1463 Phone: (650) 591-9623 Fax: (650) 591-4163
SAN CARLOS, CA 94070-3070 Phone: Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 101YA0400X - Counselor / Addiction (Substance Use Disorder) (Primary) |
CA |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.