Caleb Randolph is a Counselor based in Pocatello, ID. Caleb Randolph practices in Pocatello, ID. The NPI Number for Caleb Randolph is 1538884747 and holds a License No. 8857 (Idaho).
The current practice location address for Caleb Randolph is 110 E Walnut St, Pocatello, ID and can be reached out via phone at 208-549-7246.
Location: 110 E Walnut St, Pocatello, ID, 83201-4570
Provider Profile Details
NPI Number
1538884747
Provider Name
Caleb Randolph
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 E Walnut St, Pocatello, ID, 83201-4570
Phone Number
208-549-7246
Fax Number
Provider Enumeration Date
10/10/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
110 E Walnut St
City
State
Zip
83201-4570
Phone Number
208-549-7246
Fax Number
Provider Business Mailing Address Details
Address
110 E Walnut St
City
State
Zip
83201-4570
Phone Number
208-549-7246
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
8857 (Idaho)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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