Randolph G. Russ
Randolph G. Russ is a Mental Health Counselor in Lake Worth, Florida. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
8461 Lake Worth Rd Ste 120Lake Worth, FL 33467-2474
Phone: (561) 201-7180
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X |
Record details
| NPI number | 1548625007 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randolph Russ — President · (561) 201-7180 |
| NPI enumerated | December 28, 2015 |
| Last updated in NPPES | August 2, 2021 |
| Certification date | August 2, 2021 |
| Mailing address | 8461 Lake Worth Rd, Suite 120, Lake Worth, FL 33467 |
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