Individual provider · Type 1 NPI

Shaneice Randall

Mental Health Counselor · Westampton, NJ

NPI number 1043874357 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043874357

Shaneice Randall's National Provider Identifier is 1043874357, issued on Apr 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Apr 23, 2019.