Individual
MR. ERIC D RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5124 SIERRA BLANCA LN, N LAS VEGAS, NV 89031-1081
(702) 636-9662
Mailing address
5124 SIERRA BLANCA LN, N LAS VEGAS, NV 89031-1081
(702) 636-9662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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