Organization · Type 2 NPI
Mickala Randby, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Algonquin, IL
NPI number
1912766965
Active
Practice location
1310 Prairie Dr
Algonquin, IL 60102-4251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1912766965
Mickala Randby, PLLC's National Provider Identifier is 1912766965, issued on Mar 13, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Algonquin, IL. The record was last updated on Mar 13, 2024.