Randall, Rebecca

Randall, Rebecca is an sole proprietor health care provider with primary practice located at 358 Montrose Ave , South Orange NJ 07079-2439. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Randall, Rebecca can be contacted via phone (347) 334-3395.

Contact Information

Primary practice address
358 Montrose Ave South Orange NJ 07079-2439
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1821670472
LBN Legal business name Randall, Rebecca
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2021
Last updated Apr 23rd, 2021 - about 3 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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