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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7352 (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.