Melanie Diana Randolph, LMHC-A
NPI #1215465570 in Longview, Washington
Provider Information
- NPI Number
- 1215465570
- Entity Type
- Individual
- Name
- Melanie Diana Randolph, LMHC-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LMHC-A
- Enumeration Date
- May 31, 2017
- Last Updated
- Jul 9, 2020
Practice Location
- Address
- 1402 BROADWAY ST STE 207
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3714
- Phone
- (360) 749-0629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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