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

RANDY RANDALL DITMORE, LPC

Active Sole Proprietor

RANDY RANDALL DITMORE, LPC is a Mental Health Counselor healthcare provider located in FULSHEAR, Texas. NPI 1639840499 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · FULSHEAR, TX

Registration Details

NPI Number
1639840499
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2021 (4.7139717866283 yrs)
Last Updated
Sep 22, 2021
License
15016 (TX)
Sole Proprietor
Yes

Practice Information

Address
5302 WATER TERRACE LN
FULSHEAR, TX, 774412243
Browse TX providers · Browse ZIP 77441
Phone
2819893908
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in FULSHEAR, TX

Name Credential NPI
MS. CAROL JEAN BENNETTS LPC 1841584828
NICOLE NEWSOME LPC 1912374315
STACI LYNN DAVIS LPC 1023747839
DESIREE ST. PIERRE LPC-A 1124887666
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.