Individual
MR. CURTIS GLEN RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6449
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2058
AZ
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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