Individual
TELISA RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
101 N LYNNHAVEN RD STE 200, VIRGINIA BEACH, VA 23452-7523
(757) 356-2245
Mailing address
4823 AFTON CT, VIRGINIA BEACH, VA 23462-7230
(757) 356-2245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013767
VA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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