Heather Jean Randolph, LPC

NPI #1417098112 in Nevada, Missouri

Provider Information

NPI Number
1417098112
Entity Type
Individual
Name
Heather Jean Randolph, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Feb 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1500 W ASHLAND ST
City
Nevada
ZIP Code
64772-1710
Phone
(417) 667-2666

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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