Individual provider · Type 1 NPI

Michelle Randolph, LPC, LBSW

Professional Counselor · Montgomery, AL

NPI number 1285091264 Active

Practice location

2361 Fairlane Dr
Montgomery, AL 36116-1633

Call (334) 279-7830 Map

Fax (334) 277-8862

Mailing address

PO Box 3223, 2014 Upper Wetumpka Road
Montgomery, AL 36109-0223

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3477 (AL)
Social Worker 104100000X1688B (AL)

Professional Counselor: Definition to come...

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About NPI 1285091264

Michelle Randolph, LPC, LBSW's National Provider Identifier is 1285091264, issued on Jan 21, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Montgomery, AL. The record was last updated on Feb 12, 2016.