person
Heather Jean Randolph, LPC
Mental Health Counselor in Nevada, Missouri
NPI 1417098112

Heather Jean Randolph is a Mental Health Counselor based in Nevada, MO and is specialized in Mental Health. Heather Jean Randolph practices in Nevada, MO and has the professional credentials of LPC. The NPI Number for Heather Jean Randolph is 1417098112 and holds a License No. 2004032818 (Missouri).

The current practice location address for Heather Jean Randolph is 1500 W Ashland St, Nevada, MO and can be reached out via phone at 417-667-2666. You can also correspond with Heather Jean Randolph through the mailing address at 1034 N CEDAR ST, NEVADA, MO - 64772-1437 (mailing address contact number: ).

Location: 1500 W Ashland St, Nevada, MO, 64772-1437
person
Provider Profile Details
NPI Number
1417098112
Provider Name
Heather Jean Randolph
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1500 W Ashland St, Nevada, MO, 64772-1437
Phone Number
417-667-2666
Fax Number
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 W Ashland St
City
State
Zip
64772-1710
Phone Number
417-667-2666
Fax Number
person
Provider Business Mailing Address Details
Address
1500 W Ashland St
City
State
Zip
64772-1710
Phone Number
417-667-2666
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2004032818 (Missouri)
Definition
Definition to come...
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