Individual
MRS. BETTINA RANDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
14 CENTER ST, WATERTOWN, MA 02472-4036
(616) 926-1301
Mailing address
14 CENTER ST, WATERTOWN, MA 02472-4036
(616) 926-1301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
590
MA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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