Most Relevant Information
Provider Data
| NPI Number: | 1003450776 |
| Provider Name: | HALEY RANDLE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/05/2019 |
| Last Updated: | 07/11/2023 |
Provider Practice Location
670 PLACERVILLE DR
PLACERVILLE
CA
956674200
Practice Location Phone/Fax
| Phone: | 5306442412 |
| Fax: |
Provider Mailing Location
670 PLACERVILLE DR
PLACERVILLE
CA
956674200
Provider Mailing Phone/Fax
| Phone: | 5306442412 |
| Fax: |