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Individual

RANDALL S BERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 771-5131
(505) 867-7099
Mailing address
13116 VERBENA PL NE, ALBUQUERQUE, NM 87112-6369
(505) 449-8291

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0077121
NM

Other

Enumeration date
01/13/2010
Last updated
12/31/2012
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