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Individual
MRS. NICHOLE M RANDALL
Active
Individual
MRS. NICHOLE M RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC,BA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659758639
TELE CARE NORTHSOUND E& T
WA
Enumeration date
05/22/2019
Last updated
09/19/2023
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