Individual provider · Type 1 NPI
Jordan Elizabeth Randall, LMHC
Mental Health Counselor · Watertown, NY
NPI number
1942640008
Active
Practice location
146L Arsenal St
Watertown, NY 13601
Fax (315) 785-5637
Other practice locations
- 335 W 1st St, Oswego, NY 13126-3655 · (315) 343-3344
- 335 W 1st St, Oswego, NY 13126-3655 · (315) 343-3344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | P02061 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1942640008
Jordan Elizabeth Randall, LMHC's National Provider Identifier is 1942640008, issued on Jul 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watertown, NY. The record was last updated on Dec 21, 2022.