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Individual

MS. JUDITH A. RANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
8771 WOLF CT., #210, WESTMINSTER, CO 80031
(858) 776-4815
Mailing address
14291 W. 91ST LANE, ARVADA, CO 80005
(858) 776-4815

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
44323
CA
106H00000X
Marriage & Family Therapist
Primary
953
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21587507
CO
Enumeration date
01/24/2007
Last updated
01/19/2017
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