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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE RANDOLPH

Active

JACQUELINE RANDOLPH is a Mental Health Counselor healthcare provider located in ST. LOUIS, Missouri. NPI 1578970059 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ST. LOUIS, MO

Registration Details

NPI Number
1578970059
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2014 (11.895220161585 yrs)
Last Updated
Jul 17, 2014

Practice Information

Address
4218 NORTH GRAND BLVD
ST. LOUIS, MO, 63107
Browse MO providers · Browse ZIP 63107
Phone
3145346624
Fax
3145354394
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in ST. LOUIS, MO

Name Credential NPI
RICHARD ORLANDO LPC, LCSW 1730274291
JANE WRIGHT SEELIG MA,LPC, ATR,BC 1801963012
MS. JENNIFER LYNN MORGAN LPC 1124188834
MS. PAIVI A. TETRI M.S.W., L.C.S.W 1396899738
MS. NORA ANN BOLAND II 1902212160
JOSEPH B CLARK 1770990038
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.