Individual provider · Type 1 NPI

Melanie Randolph, MAE, MFTA

Marriage & Family Therapist · Bowling Green, KY

NPI number 1477829075 Active

Practice location

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Fax (270) 842-5268

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	06-0042 (KY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1477829075

Melanie Randolph, MAE, MFTA's National Provider Identifier is 1477829075, issued on Mar 28, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Bowling Green, KY. The record was last updated on Mar 28, 2012.