Individual provider · Type 1 NPI

Patricia Randolph, MA, PhD

Mental Health Counselor · Riverside, CA

NPI number 1942345632 Active

Practice location

2900 Adams St
Riverside, CA 92504-4335

Fax (951) 898-9858

Mailing address

2201 Santa Anita Ave
Altadena, CA 91001-2918

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC25109 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1942345632

Patricia Randolph, MA, PhD's National Provider Identifier is 1942345632, issued on Feb 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.