person
Mr. Richard Randolph
Professional Counselor in Chicago, Illinois
NPI 1477172914

Richard Randolph is a Professional Counselor based in Markham, IL and is specialized in Professional. Richard Randolph practices in Chicago, IL. The NPI Number for Richard Randolph is 1477172914 and holds a License No. 178012996 (Illinois).

The current practice location address for Richard Randolph is 11740 S Western Ave, Chicago, IL and can be reached out via phone at 312-206-9131.

Location: 11740 S Western Ave, Chicago, IL, 60428-5410
person
Provider Profile Details
NPI Number
1477172914
Provider Name
Richard Randolph
Credential
Provider Entity Type
Individual
Gender
Male
Address
11740 S Western Ave, Chicago, IL, 60428-5410
Phone Number
312-206-9131
Fax Number
Provider Enumeration Date
04/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11740 S Western Ave
City
State
Zip
60643-4732
Phone Number
312-206-9131
Fax Number
person
Provider Business Mailing Address Details
Address
11740 S Western Ave
City
State
Zip
60643-4732
Phone Number
312-206-9131
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178012996 (Illinois)
Definition
Definition to come...
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