Randall, Ron Dewayne

Randall, Ron Dewayne is an sole proprietor health care provider with primary practice located at 2707 Airport Freeway Suite 213, Fort Worth TX 76111-2370. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Randall, Ron Dewayne can be contacted via phone (817) 920-9779.

Contact Information

Primary practice address
2707 Airport Freeway Suite 213 Fort Worth TX 76111-2370
Phone: (817) 920-9779
Fax: (817) 920-9553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3617 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5254 Texas

Profile Details

NPI number 1932205705
LBN Legal business name Randall, Ron Dewayne
Credentials MED LPC LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Apr 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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