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Mr. Jeffrey Dwayne Randall, MPC
Mental Health Counselor in Little River, South Carolina
NPI 1376688796

Jeffrey Dwayne Randall is a Mental Health Counselor based in Little River, SC and is specialized in Mental Health. Jeffrey Dwayne Randall practices in Little River, SC and has the professional credentials of MPC. The NPI Number for Jeffrey Dwayne Randall is 1376688796 and holds a License No. (South Carolina).

The current practice location address for Jeffrey Dwayne Randall is 501 Highway 90 E, Little River, SC and can be reached out via phone at 803-422-7231.

Location: 501 Highway 90 E, Little River, SC, 29566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376688796
Provider Name
Jeffrey Dwayne Randall
Credential
MPC
Provider Entity Type
Individual
Gender
Male
Address
501 Highway 90 E, Little River, SC, 29566
Phone Number
803-422-7231
Fax Number
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421504 05 SC
institution
Provider Business Practice Location Address Details
Address
501 Highway 90 E
City
Little River
State
South Carolina
Zip
29566-9261
Phone Number
803-422-7231
Fax Number
person
Provider Business Mailing Address Details
Address
501 Highway 90 E
City
Little River
State
South Carolina
Zip
29566-9261
Phone Number
803-422-7231
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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