Individual
MR. RANDY EDWARD NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPC, LMFT
Contact information
Practice address
2711 ERNEST ST, LAKE CHARLES, LA 70601-8406
(337) 431-7194
(337) 431-7198
Mailing address
2711 ERNEST ST, LAKE CHARLES, LA 70601-8406
(337) 431-7194
(337) 431-7198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1990
LA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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