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Dr. Monica L Randolph-graham, PSYD,LPC-S
Mental Health Counselor in Roanoke, Texas
NPI 1659549137

Monica L Randolph-graham is a Mental Health Counselor based in Roanoke, TX and is specialized in Mental Health. Monica L Randolph-graham practices in Roanoke, TX and has the professional credentials of PSYD,LPC-S. The NPI Number for Monica L Randolph-graham is 1659549137 and holds a License No. 19708 (Texas).

The current practice location address for Monica L Randolph-graham is 5360 Kelly Dr, Roanoke, TX and can be reached out via phone at 817-714-6439.

Location: 5360 Kelly Dr, Roanoke, TX, 76262-3617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659549137
Provider Name
Monica L Randolph-graham
Credential
PSYD,LPC-S
Provider Entity Type
Individual
Gender
Female
Address
5360 Kelly Dr, Roanoke, TX, 76262-3617
Phone Number
817-714-6439
Fax Number
Provider Enumeration Date
02/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88600L 01 TX BLUECROSSBLUESHIELD PROV#
institution
Provider Business Practice Location Address Details
Address
5360 Kelly Dr
City
Roanoke
State
Texas
Zip
76262-3617
Phone Number
817-714-6439
Fax Number
person
Provider Business Mailing Address Details
Address
5360 Kelly Dr
City
Roanoke
State
Texas
Zip
76262-3617
Phone Number
817-714-6439
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
19708 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
19708 (Texas)
Definition
Definition to come...
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