| Doctor Name: | MR. RANDY EDWARD NORTH |
| NPI Number: | 1033230040 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., LPC, LMFT |
| License Number: | 1990 |
| Business Practice Address: | 2711 Ernest St Lake Charles, LA - 706018406 |
| Business Phone Number: | 3374317194 |
| Business Fax Number: | 3374317198 |
| Mailing Address: | 2711 Ernest St, LAKE CHARLES |
| State: | LA |
| Postal Code: | 706018406 |
| Phone Number: | 3374317194 |
| Fax Number: | 3374317198 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |