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Individual
MR. TONY A RICHARDSON
Active
Individual
MR. TONY A RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACII1310
DC
101YP2500X
Professional Counselor
Primary
LGPC200001633
DC
Other
Enumeration date
02/20/2023
Last updated
02/16/2024
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