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Individual

RANDALL ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3201 N RIDGE LOOP DR, SILVER CITY, NM 88061-7243
(575) 956-6390
(575) 956-6074
Mailing address
3201 N RIDGE LOOP DR, SILVER CITY, NM 88061-7243
(575) 956-6390
(575) 956-6074

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0275
NM
101YM0800X
Mental Health Counselor
LPC-19906
AZ

Other

Enumeration date
12/15/2014
Last updated
05/01/2025
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