Dwight Edward Randolph LMHC

NPI 1679762520 - Counselor - 101YM0800X

NPI Details
NPI 1679762520
Gender Male
Enumeration Date 10/16/2007
Last Updated 10/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
613 19TH AVE E
SUITE 101A
SEATTLE WA, 98112-4075, US
Phone (206) 465-1051
Fax (253) 761-1899
Business Location
613 19TH AVE E
SUITE 101A
SEATTLE WA, 98112-4075, US
Phone (206) 465-1051
Fax (253) 761-1899
Toxanomy
Taxonomy Code 101YM0800X
License State Washington
License Number LH00004130
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According to our database, Dwight Edward Randolph LMHC NPI is 1679762520, taxonomy code is 101YM0800X and license number is LH00004130, license state is located at Washington. Dwight Edward Randolph LMHC physically located at 613 19th Ave E, Seattle WA, 98112-4075. NPI Number Dwight Edward Randolph LMHC has the Individual type.

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1679762520 NPI number is provided on an as is basis without warranty of any kind. 1679762520 is maintained by the National Plan & Provider Enumeration System. The contents of Dwight Edward Randolph LMHC are for informational purposes only.