Individual
RACHEAL C RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 STUBBS AVE STE B, MONROE, LA 71201-5631
(318) 582-5633
Mailing address
110 ALTHEA DR, MONROE, LA 71202-6033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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