Individual
MR. RANDOLPH GRAY PERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.,LPC
Contact information
Practice address
301 SOUTH ELM ST., GREENSBORO, NC 27401-2696
(336) 883-7480
(336) 883-4015
Mailing address
1263 HARVEY TEAGUE RD, WINSTON SALEM, NC 27107-9247
(336) 769-1661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4208
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102801
—
NC
Enumeration date
12/20/2006
Last updated
09/04/2012
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