| Doctor Name: | MR. RANDALL THOMAS GARRETT |
| NPI Number: | 1013029339 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | LH00004310 |
| Business Practice Address: | 104 S Freya St Suite 118, Tapio Center,the Lilac Building Spokane, WA - 992024862 |
| Business Phone Number: | 5095353990 |
| Business Fax Number: | 5095349293 |
| Mailing Address: | 104 S Freya St, Suite 118, Tapio Center,the Lilac Building SPOKANE |
| State: | WA |
| Postal Code: | 992024862 |
| Phone Number: | 5095353990 |
| Fax Number: | 5095349293 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00004310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |