Individual
DOUGLAS W RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
471 S BALDWIN ST, WOODLAND PARK, CO 80863-3125
(719) 322-4745
Mailing address
PO BOX 391, WOODLAND PARK, CO 80866-0391
(719) 322-4745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2733
CO
Other
Enumeration date
01/16/2007
Last updated
05/01/2009
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