Individual provider · Type 1 NPI

Randall Leonard Hines Sr.

Mental Health Counselor · Camilla, GA

NPI number 1356771117 Active

Practice location

198 S Macarthur Dr
Camilla, GA 31730-6370

Fax (229) 336-8009

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356771117

Randall Leonard Hines Sr.'s National Provider Identifier is 1356771117, issued on Nov 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camilla, GA. The record was last updated on Nov 14, 2013.