Individual
MR. HENRY RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7130 W US HIGHWAY 90, SAN ANTONIO, TX 78227-3515
(210) 675-9000
(210) 675-9020
Mailing address
7130 W US HIGHWAY 90, SAN ANTONIO, TX 78227-3515
(210) 675-9000
(210) 675-9020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64292
TX
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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