Individual
RENAE RANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
1450 NW 114TH ST, CLIVE, IA 50325-7039
(515) 553-6231
Mailing address
2420 YELLOW AVE, PANORA, IA 50216-8670
(515) 556-7086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
127297
IA
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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