MR. Randall Keith Pemberton, BA, BHRS

NPI #1972872877 in El Reno, Oklahoma

Provider Information

NPI Number: 1972872877
Entity Type: Individual
Name: MR. Randall Keith Pemberton, BA, BHRS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: BA, BHRS
Enumeration Date: Dec 21, 2011
Last Updated: Dec 21, 2011

Practice Location

Address: 203 S ROCK ISLAND AVE
City: El Reno
State: Oklahoma
ZIP Code: 73036-2734
Phone: (405) 262-5422

Specialties & Taxonomy Codes

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

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