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Kimberly Randolph
Counselor in Gulfport, Mississippi
NPI 1801333182

Kimberly Randolph is a Counselor based in Gulfport, MS. Kimberly Randolph practices in Gulfport, MS. The NPI Number for Kimberly Randolph is 1801333182 and holds a License No. 2968 (Mississippi).

The current practice location address for Kimberly Randolph is 18169 Cardinal Ln, Gulfport, MS and can be reached out via phone at 228-343-5150.

Location: 18169 Cardinal Ln, Gulfport, MS, 39503-5677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801333182
Provider Name
Kimberly Randolph
Credential
Provider Entity Type
Individual
Gender
Female
Address
18169 Cardinal Ln, Gulfport, MS, 39503-5677
Phone Number
228-343-5150
Fax Number
Provider Enumeration Date
01/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18169 Cardinal Ln
City
Gulfport
State
Mississippi
Zip
39503-5677
Phone Number
228-343-5150
Fax Number
person
Provider Business Mailing Address Details
Address
18169 Cardinal Ln
City
Gulfport
State
Mississippi
Zip
39503-5677
Phone Number
228-343-5150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2968 (Mississippi)
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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