Individual provider · Type 1 NPI
Ron Dewayne Randall, MED LPC LMFT
Counselor · Fort Worth, TX
NPI number
1932205705
Active
Practice location
2707 Airport Freeway, Suite 213
Fort Worth, TX 76111-2370
Fax (817) 920-9553
Mailing address
3404 Martin Lydon
Fort Worth, TX 76133-1419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3617 (TX) |
| Counselor Primary | 101Y00000X | 5254 (TX) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1932205705
Ron Dewayne Randall, MED LPC LMFT's National Provider Identifier is 1932205705, issued on Sep 16, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 24, 2019.