Individual provider · Type 1 NPI

Ivanna Shalane Randall

Professional Counselor · Bakersfield, CA

NPI number 1790505568 Active

Practice location

2821 H St
Bakersfield, CA 93301-1913

Call (661) 546-6365 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1790505568

Ivanna Shalane Randall's National Provider Identifier is 1790505568, issued on Oct 15, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bakersfield, CA. The record was last updated on Jan 14, 2025.