Randall Scott Wood, LMHC
Counselor, Mental Health in Lafayette, IN. Individual provider (NPI-1).
NPI number1073705299
StatusActive
Last updated in NPPESApr 18, 2012
Details
- NPI
- 1073705299
- Entity type
- Individual (NPI-1)
- Name
- Mr. Randall Scott Wood
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2007
- Last updated
- Apr 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 39001642A | IN | Yes |
Practice location
133 N 4th StSuite 506
Lafayette, IN 47901-1371
Phone 765-409-6168
Mailing address
133 N 4th StSuite 506
Lafayette, IN 47901-1371
Phone 765-409-6168
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