Individual
ALYSSA MARIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
129 E 5TH ST, MOUNT CARMEL, PA 17851-2175
(570) 339-1828
Mailing address
18 E SUNBURY ST APT C, MINERSVILLE, PA 17954-1719
(570) 335-0542
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011531
PA
Other
Enumeration date
05/15/2022
Last updated
09/09/2024
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