Individual provider · Type 1 NPI
Pavielle Randolph
Mental Health Counselor · Chicago, IL
NPI number
1437069408
Active
Practice location
4138 W Adams St
Chicago, IL 60624-2701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 150.117999 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1437069408
Pavielle Randolph's National Provider Identifier is 1437069408, issued on Sep 10, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Sep 10, 2026.