| Doctor Name: | MS. ERICA RANDOLPH |
| NPI Number: | 1205169000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 0155861 |
| Business Practice Address: | 121 Truck Bypass Rd Silver City, NM - 880619202 |
| Business Phone Number: | 5755192413 |
| Business Fax Number: | |
| Mailing Address: | Po Box 933, SILVER CITY |
| State: | NM |
| Postal Code: | 880620933 |
| Phone Number: | 5755192413 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2009 |
| NPI Last Update Date: | 02/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0155861 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |