Individual
DR. TAZ WILLIAM RANDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN, M.ED
Contact information
Practice address
729 MINNIS RD NE, CLEVELAND, TN 37323-5236
(423) 715-2616
Mailing address
729 MINNIS RD NE, CLEVELAND, TN 37323-5236
(423) 715-2616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000590
TN
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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