Jacqueline Randolph
Jacqueline Randolph is a Mental Health Counselor in St. Louis, Missouri. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
4218 N Grand BlvdSt. Louis, MO 63107
Phone: (314) 534-6624
Fax: (314) 535-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1578970059 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 17, 2014 |
| Last updated in NPPES | July 17, 2014 |
| Mailing address | 4218 North Grand Blvd, St. Louis, MO 63107 |
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