Randall Edward Surque is a Jackson, Michigan based counselor who is specialized as Counselor. Active license number of Randall Edward Surque is 6401016161 for Counselor in Michigan. His current practice location is 1200 N West Ave, Jackson. Patients can book an appointment with him at 517-789-1200.
Randall Edward Surque is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. He works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. He support his clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Randall Edward Surque speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Randall Edward Surque |
| Specialization: | Counselor |
| Gender: | Male |
| Credentials: | LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1200 N West Ave, Jackson,
Michigan, 49202-2179 |
| Phone: | 517-789-1200 |
| Fax: | 517-789-1276 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1447726146 |
| NPI Enumeration Date: | 19 Oct, 2018 |
| NPI Last Update On: | 30 Oct, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall Edward Surque are as mentioned below.
| License Number | Specialization | State | Status | |
| 6401016161 | Counselor | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Randall Edward Surque such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6401016161 | Other | Michigan | STATE LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1200 N West Ave,
Jackson, Michigan |
| Zip: | 49202-2179 |
| Phone Number: | 517-789-1200 |
| Fax Number: | 517-789-1276 |
Patients can reach Randall Edward Surque at
1200 N West Ave, Jackson, Michigan or can
call to book an appointment on 517-789-1200.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.