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Miah Randolph, LPC
Professional Counselor in Dallas, Texas
NPI 1538932843

Miah Randolph is a Professional Counselor based in Dallas, TX and is specialized in Professional. Miah Randolph practices in Dallas, TX and has the professional credentials of LPC. The NPI Number for Miah Randolph is 1538932843 and holds a License No. 85306 (Texas).

The current practice location address for Miah Randolph is 10504 Bruton Rd, Dallas, TX and can be reached out via phone at 972-674-1611.

Location: 10504 Bruton Rd, Dallas, TX, 75217-3105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538932843
Provider Name
Miah Randolph
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
10504 Bruton Rd, Dallas, TX, 75217-3105
Phone Number
972-674-1611
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10504 Bruton Rd
City
Dallas
State
Texas
Zip
75217-3105
Phone Number
972-674-1611
Fax Number
person
Provider Business Mailing Address Details
Address
10504 Bruton Rd
City
Dallas
State
Texas
Zip
75217-3105
Phone Number
972-674-1611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
85306 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
85306 (Texas)
Definition
Definition to come...
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