SearchMichigan1041C0700X

Randall Ailes, MA, LMSW, LPC

NPI 1407124670 · on the registry since 2011 · sole proprietor

Practice

Address
1425 S Hanover St
Hastings, MI 49058
Phone
(269) 929-7784
Fax
(269) 945-3182

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-02

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 Michigan