Individual provider · Type 1 NPI
Steve C. Randall
Mental Health Counselor · Fernpark, FL
NPI number
1164610622
Active
Practice location
239 Fernwood Blvd.
Fernpark, FL 32730-2116
Fax (407) 324-9055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1164610622
Steve C. Randall's National Provider Identifier is 1164610622, issued on Oct 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fernpark, FL. The record was last updated on Oct 10, 2007.