Individual
MR. RANDALL R. RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1600 S MAIN ST, LEBANON, OR 97355
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 812-8814
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1283
OR
Other
Enumeration date
02/23/2010
Last updated
11/14/2019
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