Individual
MR. DARIUS LAMONT RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4500 CASCADE RD SE, GRAND RAPIDS, MI 49546-3665
(616) 443-4121
(616) 469-1124
Mailing address
9578 SNOW VALLEY DR SE, ALTO, MI 49302-8989
(616) 287-5331
(616) 469-1124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1720201742
MI
Other
Enumeration date
04/10/2007
Last updated
05/24/2024
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