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Individual

RANDALL HARSHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1840 N 95TH AVE STE 146, PHOENIX, AZ 85037-4446
(623) 234-9811
(623) 234-9815
Mailing address
4747 N 7TH ST STE 100, PHOENIX, AZ 85014-3654
(602) 279-7655
(602) 253-7065

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18969
AZ

Other

Enumeration date
06/18/2020
Last updated
06/18/2020
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