Individual
MS. AMY ROBERTA RANDOLPH-COUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
69 WENHAM ST, JAMAICA PLAIN, MA 02130-4152
(617) 816-1615
Mailing address
69 WENHAM ST, JAMAICA PLAIN, MA 02130-4152
(617) 816-1615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6119
MA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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