Individual
MS. JANITA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2325 ENZIE DR APT 2, LAS CRUCES, NM 88001-5880
(915) 740-3494
Mailing address
2325 ENZIE DR APT 2, LAS CRUCES, NM 88001-5880
(915) 740-3494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0213941
NM
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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