Individual
REBECCA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
358 MONTROSE AVE, SOUTH ORANGE, NJ 07079-2439
(347) 334-3395
Mailing address
358 MONTROSE AVE, SOUTH ORANGE, NJ 07079-2439
(347) 334-3395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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