Individual
MEREDITH HOLLY RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV, LPC
Contact information
Practice address
218 TRIBBLE ST, ANDERSON, SC 29625-4339
(864) 642-1171
Mailing address
2223 RIDGEWOOD AVE, ANDERSON, SC 29625-2237
(864) 933-9642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6026
SC
101YM0800X
Mental Health Counselor
Primary
6674
SC
Other
Enumeration date
06/28/2017
Last updated
03/17/2018
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