Randy Randall Ditmore, LPC

NPI #1639840499 in Fulshear, Texas

Provider Information

NPI Number: 1639840499
Entity Type: Individual
Name: Randy Randall Ditmore, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Sep 22, 2021
Last Updated: Sep 22, 2021

Practice Location

Address: 5302 WATER TERRACE LN
City: Fulshear
State: Texas
ZIP Code: 77441-2243
Phone: (281) 989-3908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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