Individual
MR. DANNY L RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
8478 RED HOLLY LN, JACKSONVILLE, FL 32221-1545
(904) 783-1956
Mailing address
8478 RED HOLLY LN, JACKSONVILLE, FL 32221-1545
(904) 783-1956
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1361
FL
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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