Doctor Name: | MARY CARMEN RANDLEMAN |
NPI Number: | 1083875769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., LPC |
License Number: | |
Business Practice Address: | 121410 S 4170 Rd Eufaula, OK - 744325012 |
Business Phone Number: | 9187246449 |
Business Fax Number: | |
Mailing Address: | 121410 S 4170 Rd, EUFAULA |
State: | OK |
Postal Code: | 744325012 |
Phone Number: | 9187246449 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |