Jill Randall in Broussard - Counselor

Jill Randall - NPI 1700054624

Jill Randall is a Counselor in Broussard, Louisiana. Jill Randall practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jill Randall is 1700054624. The last update date is 2019-08-20.

Jill Randall's current location address is 109 Waterberry Dr, Broussard, Louisiana. You can contact this provider via phone number 3378371126 and fax number 3372058669. The mailing address for Jill Randall is 109 Waterberry Dr, Broussard, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Randall
Address 109 Waterberry Dr, Broussard, Louisiana
Phone Number 3378371126
Fax Number 3372058669
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1700054624
Provider Enumeration Date 2008-02-13
Last Updated Date 2019-08-20

Provider Mailing Address Detail

Address 109 Waterberry Dr
City Broussard
State Louisiana (LA)
Post Code 705189104
Phone Number 3378371126
Fax Number 3372058669

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

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FAQs about Jill Randall

What is the unique identification code assigned to Jill Randall by the Centers for Medicare & Medicaid Services?

The Jill Randall has been issued the NPI (National Provider Identifier) 1700054624. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jill Randall is geographically located?

The Jill Randall is physically situated at the following location: 109 Waterberry Dr, Broussard, LA, 705189104.

What is Jill Randall's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jill Randall's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700054624 to Jill Randall?

The Centers for Medicare & Medicaid Services assigned the 1700054624 to Jill Randall on 2008-02-13.

When was the Jill Randall's information last updated?

The Jill Randall's information was last updated on 2019-08-20.

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