Danny L Randolph, LMFT
Marriage & Family Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1790787281
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790787281
- Entity type
- Individual (NPI-1)
- Name
- Mr. Danny L Randolph
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1361 | FL | Yes |
Practice location
8478 Red Holly LnJacksonville, FL 32221-1545
Phone 904-783-1956
Mailing address
8478 Red Holly LnJacksonville, FL 32221-1545
Phone 904-783-1956
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