Individual
CRYSTAL B GREEN-RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 INGLESIDE AVE, CATONSVILLE, MD 21228-1318
(443) 763-3718
(410) 744-7309
Mailing address
1031 INGLESIDE AVE, CATONSVILLE, MD 21228-1318
(443) 763-3718
(410) 744-7309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7361
MD
Other
Enumeration date
10/21/2014
Last updated
12/02/2020
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