Individual provider · Type 1 NPI

Miriam SC Randall, LPCA

Professional Counselor · Branford, CT

NPI number 1750100392 Active

Practice location

14 Sycamore Way
Branford, CT 06405-6551

Mailing address

20 Homestead Pl
Branford, CT 06405-2603

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7352 (CT)

Professional Counselor: Definition to come...

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About NPI 1750100392

Miriam SC Randall, LPCA's National Provider Identifier is 1750100392, issued on Oct 9, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Branford, CT. The record was last updated on Oct 9, 2024.