Individual
MS. JILL RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 718-7737
(337) 205-8669
Mailing address
109 WATERBERRY DR, BROUSSARD, LA 70518-9104
(337) 837-1126
(337) 205-8669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
08/20/2019
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