Individual provider · Type 1 NPI
Mandy Randall, LPC, LCDC
Professional Counselor · San Antonio, TX
NPI number
1316523749
Active
Practice location
18018 Overlook Loop, Suite 105, Pmb 1029
San Antonio, TX 78259-1883
Fax (844) 832-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15052 (TX) |
| Professional Counselor Primary | 101YP2500X | 79060 (TX) |
| Counselor | 101Y00000X | 79060 (TX) |
Professional Counselor: Definition to come...
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About NPI 1316523749
Mandy Randall, LPC, LCDC's National Provider Identifier is 1316523749, issued on Mar 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Jan 21, 2025.