Individual provider · Type 1 NPI

Tracie Marie Randall

Mental Health Counselor · Virginia Beach, VA

NPI number 1881208650 Active

Practice location

865 Woodstock Road
Virginia Beach, VA 23464

Call (757) 348-2189 Map

Mailing address

2085 Lynnhaven Pkwy Ste 106
Virginia Beach, VA 23456-1497

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0701012934 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1881208650

Tracie Marie Randall's National Provider Identifier is 1881208650, issued on Aug 31, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Virginia Beach, VA. The record was last updated on Oct 13, 2023.