Individual
MS. ASHLEY ELIZABETH RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7283
Mailing address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3479
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/16/2012
Last updated
07/22/2015
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