Randolph, Curtis Glen

Randolph, Curtis Glen is an sole proprietor health care provider with primary practice located at 2187 N Vickey St , Flagstaff AZ 86004-6106. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Randolph, Curtis Glen can be contacted via phone (928) 714-6449.

Contact Information

Primary practice address
2187 N Vickey St Flagstaff AZ 86004-6106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-2058 Arizona

Profile Details

NPI number 1184819781
LBN Legal business name Randolph, Curtis Glen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 2007 - about 17 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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