person
Randall Smith
Mental Health Counselor in Los Angeles, California
NPI 1841736477

Randall Smith is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Randall Smith practices in Los Angeles, CA. The NPI Number for Randall Smith is 1841736477 and holds a License No. 96318 (California).

The current practice location address for Randall Smith is 859 Hauser Blvd, Los Angeles, CA and can be reached out via phone at 323-356-4552.

Location: 859 Hauser Blvd, Los Angeles, CA, 90036-4725
person
Provider Profile Details
NPI Number
1841736477
Provider Name
Randall Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
859 Hauser Blvd, Los Angeles, CA, 90036-4725
Phone Number
323-356-4552
Fax Number
Provider Enumeration Date
01/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
96318 01 CA BBS
institution
Provider Business Practice Location Address Details
Address
859 Hauser Blvd
City
State
Zip
90036-4725
Phone Number
323-356-4552
Fax Number
person
Provider Business Mailing Address Details
Address
859 Hauser Blvd
City
State
Zip
90036-4725
Phone Number
323-356-4552
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
96318 (California)
Definition
Definition to come...
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