Individual
BROOKE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 E 38TH ST, INDIANAPOLIS, IN 46205-2622
(317) 455-5642
Mailing address
447 E 38TH ST, INDIANAPOLIS, IN 46205-2622
(317) 455-5642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
10/10/2025
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