# STACY RICHARDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386951499
- **Gender:** F
- **Credential:** LMFT, LMHC, LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1352-07 | HI | — |
| 101YM0800X | Mental Health Counselor | 209 | HI | — |
| 101YP2500X | Professional Counselor | 0701005024 | VA | — |
| 106H00000X | Marriage & Family Therapist | 0717001221 | VA | Yes |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 07/18/2011