Individual
TONYA LEWIS RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED, LPC
Contact information
Practice address
308 AVENUE C, KENTWOOD, LA 70444-2436
(985) 514-1739
Mailing address
308 AVENUE C, KENTWOOD, LA 70444-2436
(985) 514-1739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5205
LA
101YS0200X
School Counselor
491149
LA
Other
Enumeration date
04/11/2021
Last updated
04/11/2021
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