JACQUELINE RANDOLPH
Counselor - Mental Health
Active
Individual
NPI: 1578970059
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1578970059 is the National Provider Identifier for JACQUELINE RANDOLPH, a Counselor - Mental Health provider located in St. Louis, MO. This NPI was enumerated on July 17, 2014.
JACQUELINE RANDOLPH practices at 4218 NORTH GRAND BLVD, St. Louis, MO 63107.
Quick Facts
- NPI
- 1578970059
- Type
- Individual
- Enumerated
- Jul 17, 2014
- Last Updated
- Jul 17, 2014
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