Mr. James Oliver Randall
Mr. James Oliver Randall is a Clinical Social Worker in Bellevue, Washington. Qualified in 2022, 4 years ago. Practices as a sole proprietor.
- Years since qualifying
- 4
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1412 140th Pl NEBellevue, WA 98007-3915
Phone: (425) 747-7892
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1316562697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2020 |
| Last updated in NPPES | June 11, 2020 |
| Certification date | June 11, 2020 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
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