Individual
CRYSTAL RANDLES
Active
Individual
CRYSTAL RANDLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21231
NC
1041C0700X
Clinical Social Worker
CC011035
NC
1041C0700X
Clinical Social Worker
CSW.09925898
CO
1041C0700X
Clinical Social Worker
Primary
P009955
NC
Other
Enumeration date
05/18/2016
Last updated
03/11/2022
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