Individual provider · Type 1 NPI

Shaylise Monea Randle, LPC

Mental Health Counselor · Canton, OH

NPI number 1629625496 Active

Practice location

401 Tuscarawas St W Ste 501
Canton, OH 44702-2045

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XC.1901871-TRNE (OH)
Marriage & Family Therapist 106H00000XM.1900159-TRNE (OH)
Mental Health Counselor Primary 101YM0800XC.2002874 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1629625496

Shaylise Monea Randle, LPC's National Provider Identifier is 1629625496, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, OH. The record was last updated on Nov 30, 2020.