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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone 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.