Individual provider · Type 1 NPI

Shanitta Antalleshia Randolph

Mental Health Counselor · Anchorage, AK

NPI number 1699372359 Active

Practice location

1709 Bragaw St
Anchorage, AK 99508-3436

Call (907) 346-2101 Map

Mailing address

6800 E 12th Ave
Anchorage, AK 99504-1832

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1699372359

Shanitta Antalleshia Randolph's National Provider Identifier is 1699372359, issued on Oct 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anchorage, AK. The record was last updated on Oct 6, 2020.