Individual provider · Type 1 NPI
Mary Carmen Randleman, M.ED., LPC
Professional Counselor · Sallisaw, OK
NPI number
1083875769
Active
Practice location
207 N Oak St Ste 5
Sallisaw, OK 74955-4602
Fax (918) 208-0687
Mailing address
PO Box 1084
Sallisaw, OK 74955-1084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | None listed |
| School Psychologist | 103TS0200X | 229640 (OK) |
| Marriage & Family Therapist | 106H00000X | None listed |
| Professional Counselor Primary | 101YP2500X | 4855 (OK) |
| Mental Health Counselor | 101YM0800X | None listed |
| Counselor | 101Y00000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1083875769
Mary Carmen Randleman, M.ED., LPC's National Provider Identifier is 1083875769, issued on Jun 24, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sallisaw, OK. The record was last updated on Sep 29, 2023.