Individual
HALEY RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 GOLDEN FOOTHILL PKWY STE 1A, EL DORADO HILLS, CA 95762-9651
(530) 644-2412
Mailing address
670 PLACERVILLE DR, PLACERVILLE, CA 95667-4200
(530) 644-2412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
04/21/2025
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