Burl Thomas Randall III

NPI #1003613886 in Shawnee, Oklahoma

Provider Information

NPI Number
1003613886
Entity Type
Individual
Name
Burl Thomas Randall III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Feb 27, 2025
Last Updated
Feb 28, 2025

Practice Location

Address
1130 E INDEPENDENCE ST APT 515
ZIP Code
74804-4174
Phone
(405) 584-2812

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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