Individual
MR. VERNON GLENARD RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1318 AGUACATE CT, ORLANDO, FL 32837-6342
(407) 690-9262
Mailing address
1318 AGUACATE CT, ORLANDO, FL 32837-6342
(407) 690-9262
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MH18314
FL
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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