Individual
DAMIAN WILLIAM RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
7801 YORK RD STE 336, TOWSON, MD 21204-7449
(443) 550-7159
Mailing address
7801 YORK RD STE 336, TOWSON, MD 21204-7449
(443) 550-7159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADT2649
MD
101YM0800X
Mental Health Counselor
Primary
LGP15722
MD
Other
Enumeration date
05/17/2022
Last updated
06/10/2025
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