Individual
GALE LORRAINE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
404 E 3RD ST STE 200, FARMVILLE, VA 23901-1512
(434) 808-9291
Mailing address
PO BOX 796, FARMVILLE, VA 23901-0796
(434) 808-9291
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008626
VA
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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