Individual provider · Type 1 NPI

Jessica Lynn Randolph, LMHC, CRC

Mental Health Counselor · Albertson, NY

NPI number 1285754366 Active

Practice location

201 I U Willets Rd, Vocational Evaluation
Albertson, NY 11507-1516

Call (516) 465-1522 Map

Mailing address

20 Firwood Rd, Apt 1
Port Washington, NY 11050-1510

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X000096 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1285754366

Jessica Lynn Randolph, LMHC, CRC's National Provider Identifier is 1285754366, issued on Mar 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albertson, NY. The record was last updated on Jul 8, 2007.