Individual provider · Type 1 NPI

John Taylor Randolph, LPC, LADC

Professional Counselor · Enid, OK

NPI number 1427286491 Active

Practice location

605 W Oxford Ave
Enid, OK 73701-1208

Fax (580) 237-7550

Mailing address

2820 W Randolph Ave
Enid, OK 73703-4035

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X647 (OK)
Professional Counselor Primary 101YP2500X3641 (OK)

Professional Counselor: Definition to come...

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About NPI 1427286491

John Taylor Randolph, LPC, LADC's National Provider Identifier is 1427286491, issued on Jun 29, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Enid, OK. The record was last updated on Jun 29, 2009.