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Individual
MR. RANDALL L RICHARD
Active
Individual
MR. RANDALL L RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MTH, MFA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MA
101YM0800X
Mental Health Counselor
Primary
—
MA
101YP1600X
Pastoral Counselor
—
MA
101YP2500X
Professional Counselor
—
MA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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