person
Dwight Edward Randolph, LMHC
Mental Health Counselor in Seattle, Washington
NPI 1679762520

Dwight Edward Randolph is a Mental Health Counselor based in Seattle, WA and is specialized in Mental Health. Dwight Edward Randolph practices in Seattle, WA and has the professional credentials of LMHC. The NPI Number for Dwight Edward Randolph is 1679762520 and holds a License No. LH00004130 (Washington).

The current practice location address for Dwight Edward Randolph is 613 19Th Ave E, Seattle, WA and can be reached out via phone at 206-465-1051 and via fax at 253-761-1899.

Location: 613 19Th Ave E, Seattle, WA, 98112-4075
person
Provider Profile Details
NPI Number
1679762520
Provider Name
Dwight Edward Randolph
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
613 19Th Ave E, Seattle, WA, 98112-4075
Phone Number
206-465-1051
Fax Number
253-761-1899
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
613 19Th Ave E
City
State
Zip
98112-4075
Phone Number
206-465-1051
Fax Number
253-761-1899
person
Provider Business Mailing Address Details
Address
613 19Th Ave E
City
State
Zip
98112-4075
Phone Number
206-465-1051
Fax Number
253-761-1899
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH00004130 (Washington)
Definition
Definition to come...
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