Lisa Randolph, PLPC Valid NPI
Individual provider · Mental Health Counselor · O Fallon, MO
- NPI
- 1811445729
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 2015045055 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-09-20
- Last updated
- 2016-09-20
Practice location
8576 Veterans Memorial Pkwy
O Fallon, MO 63366-3080
(314) 968-2216