Haley Randle
Rehabilitation Practitioner in El Dorado Hills, CA. Individual provider (NPI-1).
NPI number1003450776
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1003450776
- Entity type
- Individual (NPI-1)
- Name
- Haley Randle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2019
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 174H00000X | Health Educator | – | – |
Other names
- Haley Gorrell (Other Name)
Practice location
4805 Golden Foothill Pkwy Ste 1aEl Dorado Hills, CA 95762-9651
Phone 530-644-2412
Mailing address
670 Placerville DrPlacerville, CA 95667-4200
Phone 530-644-2412
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All 16 Rehabilitation Practitioner providers in El Dorado Hills · All 1,303 providers in El Dorado Hills
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