Jennifer Randall

NPI #1851020010 in Desoto, Texas

Provider Information

NPI Number: 1851020010
Entity Type: Individual
Name: Jennifer Randall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 5, 2022
Last Updated: Jun 5, 2022

Practice Location

Address: 1628 TANGLEROSE DR
City: Desoto
State: Texas
ZIP Code: 75115-7844
Phone: (225) 397-0919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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