Gonzalez-Randolph, Austin
Gonzalez-Randolph, Austin is an sole proprietor health care provider with primary practice located at 18509 94Th Ave Ne , Bothell WA 98011-3354. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gonzalez-Randolph, Austin can be contacted via phone (414) 429-4887.Contact Information
Primary practice address
18509 94Th Ave Ne
Bothell WA 98011-3354
Phone: (414) 429-4887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MC61132940 | Washington |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY61278527 | Washington |
Profile Details
| NPI number | 1851975056 |
|---|---|
| LBN Legal business name | Gonzalez-Randolph, Austin |
| Credentials | LMHC; LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2021 |
| Last updated | May 20th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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