person
John Taylor Randolph, LPC,LADC
Professional Counselor in Enid, Oklahoma
NPI 1427286491

John Taylor Randolph is a Professional Counselor based in Enid, OK and is specialized in Professional. John Taylor Randolph practices in Enid, OK and has the professional credentials of LPC,LADC. The NPI Number for John Taylor Randolph is 1427286491 and holds a License No. 647 (Oklahoma).

The current practice location address for John Taylor Randolph is 605 W Oxford Ave, Enid, OK and can be reached out via phone at 580-233-7220 and via fax at 580-237-7550. You can also correspond with John Taylor Randolph through the mailing address at 2820 W RANDOLPH AVE, ENID, OK - 73703-4035 (mailing address contact number: 580-233-2487).

Location: 605 W Oxford Ave, Enid, OK, 73703-4035
person
Provider Profile Details
NPI Number
1427286491
Provider Name
John Taylor Randolph
Credential
LPC,LADC
Provider Entity Type
Individual
Gender
Male
Address
605 W Oxford Ave, Enid, OK, 73703-4035
Phone Number
580-233-7220
Fax Number
580-237-7550
Provider Enumeration Date
06/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
605 W Oxford Ave
City
State
Zip
73701-1208
Phone Number
580-233-7220
Fax Number
580-237-7550
person
Provider Business Mailing Address Details
Address
2820 W Randolph Ave
City
State
Zip
73703-4035
Phone Number
580-233-2487
Fax Number
580-237-7550
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3641 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
647 (Oklahoma)
Definition
Definition to come...
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