Individual
MS. BEVERLY J RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-4455
(703) 838-5070
Mailing address
1509 19TH ST SE, APT #402, WASHINGTON, DC 20020-6849
(703) 838-4455
(703) 838-5070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004187
VA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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