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Individual
MR. RANDALL LEO BURDEN
Active
Individual
MR. RANDALL LEO BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MFCC 34409
CA
106H00000X
Marriage & Family Therapist
Primary
MFCC 34409
CA
Other
Enumeration date
06/25/2008
Last updated
05/10/2012
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