Individual
ANGELICA R RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 PLACERVILLE DR, PLACERVILLE, CA 95667-4200
(530) 644-2412
Mailing address
670 PLACERVILLE DR, PLACERVILLE, CA 95667-4200
(530) 644-2412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
06/05/2023
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