Individual
JOHN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
705 GATE LN STE 102, KNOXVILLE, TN 37909-3519
(865) 444-8580
Mailing address
705 GATE LN STE 102, KNOXVILLE, TN 37909-3519
(865) 444-8580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
5993
TN
Other
Enumeration date
01/11/2022
Last updated
09/25/2025
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