Individual
MR. RANDALL L. OVERDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
2038 PINE TREE CIR, GAINESVILLE, GA 30501-1334
(678) 936-4954
Mailing address
2038 PINE TREE CIR, GAINESVILLE, GA 30501-1334
(770) 535-8088
(770) 718-5531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1347
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359454386A
—
GA
Enumeration date
05/01/2007
Last updated
07/11/2022
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