person
Kathleen T Randall, LMHC,EMDR
Professional Counselor in Northborough, Massachusetts
NPI 1003996505

Kathleen T Randall is a Professional Counselor based in Northborough, MA and is specialized in Professional. Kathleen T Randall practices in Northborough, MA and has the professional credentials of LMHC,EMDR. The NPI Number for Kathleen T Randall is 1003996505 and holds a License No. 367 (Massachusetts).

The current practice location address for Kathleen T Randall is 300 W Main St, Northborough, MA and can be reached out via phone at 508-351-6511.

Location: 300 W Main St, Northborough, MA, 01532-0439
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Provider Profile Details
NPI Number
1003996505
Provider Name
Kathleen T Randall
Credential
LMHC,EMDR
Provider Entity Type
Individual
Gender
Female
Address
300 W Main St, Northborough, MA, 01532-0439
Phone Number
508-351-6511
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LM0896 01 MA BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
300 W Main St
City
State
Zip
01532-2132
Phone Number
508-351-6511
Fax Number
person
Provider Business Mailing Address Details
Address
300 W Main St
City
State
Zip
01532-2132
Phone Number
508-351-6511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
367 (Massachusetts)
Definition
Definition to come...
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