Individual
DARRIAN N RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
120 MEDICAL PARK DR STE 401, BRIDGEPORT, WV 26330-9013
(304) 848-2000
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9321
(304) 623-5661
(304) 623-2989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2421
WV
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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