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Organization
TRUE TO SELF COUNSELING AND CONSULTING
Active
Organization
TRUE TO SELF COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA ELIZABETH RANDOLPH LCSW, CSAC (SOLE PROPRIETOR)
(804) 241-2324
Entity
Organization
Contact information
Practice address
806 N 30TH ST, RICHMOND, VA 23223-6641
(804) 241-2324
Mailing address
806 N 30TH ST, RICHMOND, VA 23223-6641
(804) 241-2324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009394
VA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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