Individual
MR. RANDALL MARK CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
6195 MILLER RD, SWARTZ CREEK, MI 48473-1599
(810) 630-1152
Mailing address
2016 6TH ST, BAY CITY, MI 48708-6798
(989) 573-0787
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301007038
MI
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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