Individual
AMANDA LYNN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
520 N 7TH ST, COUNCIL BLUFFS, IA 51503-0709
(712) 406-0086
Mailing address
800 N 35TH ST APT 13, COUNCIL BLUFFS, IA 51501-0652
(712) 314-8617
(712) 314-8617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14491
NE
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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