Individual
MR. RANDAL LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
COUNCIL OF THE SOUTHERN MOUNTAINS, 148 MCDOWELL ST, WELCH, WV 24801
(304) 436-6800
(304) 436-6803
Mailing address
COUNCIL OF THE SOUTHERN MOUNTAINS, 148 MCDOWELL ST, WELCH, WV 24801
(304) 436-6800
(304) 436-6803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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