Individual provider · Type 1 NPI

Dwight Edward Randolph, LMHC

Mental Health Counselor · Seattle, WA

NPI number 1679762520 Active

Practice location

613 19th Ave E, Suite 101A
Seattle, WA 98112-4075

Call (206) 465-1051 Map

Fax (253) 761-1899

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH00004130 (WA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1679762520

Dwight Edward Randolph, LMHC's National Provider Identifier is 1679762520, issued on Oct 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Oct 16, 2007.