Provider Demographics
NPI:1942733449
Name:WINSTON-HILLIER, RANDY JO (LMFT)
Entity Type:Individual
Prefix:MS
First Name:RANDY
Middle Name:JO
Last Name:WINSTON-HILLIER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:RANDY
Other - Middle Name:JO
Other - Last Name:HILLIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:700 NO. PACIFIC COAST HWY
Mailing Address - Street 2:#303
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-9998
Mailing Address - Country:US
Mailing Address - Phone:310-540-4867
Mailing Address - Fax:
Practice Address - Street 1:700 NO. PACIFIC COAST HWY
Practice Address - Street 2:#303
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-9998
Practice Address - Country:US
Practice Address - Phone:310-540-4867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMM17178106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist