Individual
MS. RONIQUE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2138 WELLINGTON LN, SLIDELL, LA 70461-4830
(504) 410-2316
Mailing address
2138 WELLINGTON LN, SLIDELL, LA 70461-4830
(504) 410-2316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6291
LA
101YP2500X
Professional Counselor
6291
LA
Other
Enumeration date
01/14/2014
Last updated
10/11/2024
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