Randi Dettling, PA-C

NPI 1306703822 · on the registry since 2026

Practice

Address: 3516 Plank Rd Ste 5a
Fredericksburg, VA 22407
Phone: (667) 668-2566
Organisation at this address: Life Source Counseling Center, Inc
Lily Rose Residential Services-Dc Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Licence states on file: VA, MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia