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Individual
DR. BRANDY KELLY RICHESON
Active
Individual
DR. BRANDY KELLY RICHESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006615
VA
101YS0200X
School Counselor
0600883
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701006615
LPC LICENSE
VA
Enumeration date
11/20/2018
Last updated
11/20/2018
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