Individual provider · Type 1 NPI

Darius Lamont Randall, LMSW

Mental Health Counselor · Grand Rapids, MI

NPI number 1720201742 Active

Practice location

4500 Cascade Rd SE
Grand Rapids, MI 49546-3665

Fax (616) 469-1124

Mailing address

9578 Snow Valley Dr SE
Alto, MI 49302-8989

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1720201742 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1720201742

Darius Lamont Randall, LMSW's National Provider Identifier is 1720201742, issued on Apr 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on May 24, 2024.