Individual
BRIAN RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2405 TOURO ST, NEW ORLEANS, LA 70119-1437
(504) 253-0480
Mailing address
2405 TOURO ST, NEW ORLEANS, LA 70119-1437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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