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Miss Gwendolyn Randall
Counselor in Boston, Massachusetts
NPI 1689020562

Gwendolyn Randall is a Counselor based in Dorchester, MA. Gwendolyn Randall practices in Boston, MA. The NPI Number for Gwendolyn Randall is 1689020562 and holds a License No. S19312823 (Massachusetts).

The current practice location address for Gwendolyn Randall is 17 Court St, Boston, MA and can be reached out via phone at 617-371-1747.

Location: 17 Court St, Boston, MA, 02121-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689020562
Provider Name
Gwendolyn Randall
Credential
Provider Entity Type
Individual
Gender
Female
Address
17 Court St, Boston, MA, 02121-2600
Phone Number
617-371-1747
Fax Number
Provider Enumeration Date
05/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Court St
City
Boston
State
Massachusetts
Zip
02108-2601
Phone Number
617-371-1747
Fax Number
person
Provider Business Mailing Address Details
Address
17 Court St
City
Boston
State
Massachusetts
Zip
02108-2601
Phone Number
617-371-1747
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
S19312823 (Massachusetts)
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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