Individual provider · Type 1 NPI
Taz William Randles, D.MIN, M.ED
Mental Health Counselor · Cleveland, TN
NPI number
1457094062
Active
Practice location
729 Minnis Rd NE
Cleveland, TN 37323-5236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0000590 (TN) |
Mental Health Counselor: Definition to come...
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About NPI 1457094062
Taz William Randles, D.MIN, M.ED's National Provider Identifier is 1457094062, issued on Apr 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, TN. The record was last updated on Apr 20, 2022.