Judd, Nichole Randall

Judd, Nichole Randall is an individual health care provider with primary practice located at 2820 Claybrooke Dr , Windsor Mill MD 21244-2014. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Judd, Nichole Randall can be contacted via phone (443) 583-4142.

Contact Information

Primary practice address
2820 Claybrooke Dr Windsor Mill MD 21244-2014
Phone: (443) 583-4142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC10660 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC10660 Maryland

Profile Details

NPI number 1710593249
LBN Legal business name Judd, Nichole Randall
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2020
Last updated Sep 27th, 2020 - about 4 years ago

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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