Randall, Khara J.B.

Randall, Khara J.B. is an sole proprietor health care provider with primary practice located at 1158 Professional Dr Ste N , Williamsburg VA 23185-6618. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Randall, Khara J.B. can be contacted via phone (207) 852-1889.

Contact Information

Primary practice address
1158 Professional Dr Ste N Williamsburg VA 23185-6618
Phone: (207) 852-1889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102738 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X CC5102 Maine
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701005512 Virginia

Profile Details

NPI number 1528473956
LBN Legal business name Randall, Khara J.B.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2014
Last updated Sep 9th, 2019 - about 5 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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