Teresa Williamson Randolph LPC

NPI 1083739924 - Counselor - 101YP2500X

NPI Details
NPI 1083739924
Gender Female
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
816 CENTRAL RD
BLOOMSBURG PA, 17815, US
Phone (570) 387-1832
Fax (570) 387-5103
Business Location
816 CENTRAL RD
BLOOMSBURG PA, 17815, US
Phone (570) 387-1832
Fax (570) 387-5103
Toxanomy
Taxonomy Code 101YP2500X
License State Pennsylvania
License Number PC004471
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According to our database, Ms. Teresa Williamson Randolph LPC NPI is 1083739924, taxonomy code is 101YP2500X and license number is PC004471, license state is located at Pennsylvania. Teresa Williamson Randolph LPC physically located at 816 Central Rd, Bloomsburg PA, 17815. NPI Number Teresa Williamson Randolph LPC has the Individual type.

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1083739924 NPI number is provided on an as is basis without warranty of any kind. 1083739924 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Williamson Randolph LPC are for informational purposes only.