Individual provider · Type 1 NPI

Randall C. Randall, L.C.S.W.

Mental Health Counselor · Kearns, UT

NPI number 1730106212 Active

Practice location

5242 S 4820 W
Kearns, UT 84118-6422

Call (801) 966-4251 Map

Fax (801) 966-4289

Mailing address

1145 Brickyard Rd Apt 1203
Salt Lake City, UT 84106-2537

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4809685-3501 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1730106212

Randall C. Randall, L.C.S.W.'s National Provider Identifier is 1730106212, issued on Jul 17, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kearns, UT. The record was last updated on Jul 8, 2007.