Individual
LISA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC, MFT
Contact information
Practice address
7121 GRAND PRAIRIE DR, COLORADO SPRINGS, CO 80923-8763
(719) 229-5597
Mailing address
7121 GRAND PRAIRIE DR, COLORADO SPRINGS, CO 80923-8763
(719) 229-5597
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
14068
CO
Other
Enumeration date
01/15/2015
Last updated
06/07/2020
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