Individual
MR. FRANK AUSTIN RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
64 SAILORS DR STE 114, ELLIJAY, GA 30540-3744
(770) 590-3736
Mailing address
844 WALNUT RDG # 4344, ELLIJAY, GA 30536-2608
(770) 590-3736
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2454
GA
Other
Enumeration date
05/03/2007
Last updated
05/21/2021
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