person
Randy Randall Ditmore, LPC
Mental Health Counselor in Fulshear, Texas
NPI 1639840499

Randy Randall Ditmore is a Mental Health Counselor based in Fulshear, TX and is specialized in Mental Health. Randy Randall Ditmore practices in Fulshear, TX and has the professional credentials of LPC. The NPI Number for Randy Randall Ditmore is 1639840499 and holds a License No. 15016 (Texas).

The current practice location address for Randy Randall Ditmore is 5302 Water Terrace Ln, Fulshear, TX and can be reached out via phone at 281-989-3908.

Location: 5302 Water Terrace Ln, Fulshear, TX, 77441-2243
person
Provider Profile Details
NPI Number
1639840499
Provider Name
Randy Randall Ditmore
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
5302 Water Terrace Ln, Fulshear, TX, 77441-2243
Phone Number
281-989-3908
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5302 Water Terrace Ln
City
State
Zip
77441-2243
Phone Number
281-989-3908
Fax Number
person
Provider Business Mailing Address Details
Address
5302 Water Terrace Ln
City
State
Zip
77441-2243
Phone Number
281-989-3908
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
15016 (Texas)
Definition
Definition to come...
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