Individual provider · Type 1 NPI

Courtney Bliss Randolph, LPCC, LPC, LADC

Mental Health Counselor · Hudson, WI

NPI number 1740150820 Active

Practice location

690 Elizabeth Way Apt 221
Hudson, WI 54016-7400

Call (612) 443-6166 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X305869 (MN)
Mental Health Counselor 101YM0800X11669-125 (WI)
Mental Health Counselor Primary 101YM0800X4209 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1740150820

Courtney Bliss Randolph, LPCC, LPC, LADC's National Provider Identifier is 1740150820, issued on Nov 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hudson, WI. The record was last updated on Nov 5, 2025.