Individual
MR. RANDALL SCOTT WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
133 N 4TH ST, SUITE 506, LAFAYETTE, IN 47901-1371
(765) 409-6168
Mailing address
133 N 4TH ST, SUITE 506, LAFAYETTE, IN 47901-1371
(765) 409-6168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001642A
IN
Other
Enumeration date
08/11/2007
Last updated
04/18/2012
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