Individual provider · Type 1 NPI

Randy Randall Ditmore, LPC

Mental Health Counselor · Fulshear, TX

NPI number 1639840499 Active

Practice location

5302 Water Terrace Ln
Fulshear, TX 77441-2243

Call (281) 989-3908 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X15016 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1639840499

Randy Randall Ditmore, LPC's National Provider Identifier is 1639840499, issued on Sep 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fulshear, TX. The record was last updated on Sep 22, 2021.