Individual
ALLYSON RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1101 MEDICAL ARTS AVE NE BLDG 3, ALBUQUERQUE, NM 87102-2722
(505) 933-4639
Mailing address
1101 MEDICAL ARTS AVE NE BLDG 3, ALBUQUERQUE, NM 87102-2722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0212641
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70655731
—
NM
Enumeration date
04/03/2017
Last updated
04/14/2025
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