Individual
DESTINY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1293 COPLEY RD, AKRON, OH 44320-2766
(330) 374-1199
Mailing address
2220 HIGH ST APT 708, CUYAHOGA FALLS, OH 44221-2891
(216) 288-9395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1300725
OH
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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