Individual
MR. RANDY MEKDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 357-3258
Mailing address
5010 GOLDEN WEST AVE, TEMPLE CITY, CA 91780-3934
(626) 246-5286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC10859
CA
101YP2500X
Professional Counselor
Primary
APCC10859
CA
Other
Enumeration date
04/05/2022
Last updated
05/05/2022
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