Individual
MR. JOSEPH BRANNON RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MBA, LPC
Contact information
Practice address
6801 ISAACS ORCHARD RD, STE. 215, SPRINGDALE, AR 72762-6545
(479) 725-3813
(479) 419-4046
Mailing address
6801 ISAACS ORCHARD RD, STE. 215, SPRINGDALE, AR 72762-6545
(479) 725-3813
(479) 419-4046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PO309038
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181106719
—
AR
Enumeration date
06/13/2007
Last updated
11/25/2013
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