Individual
DR. IVANNA M RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD LMFT LPC
Contact information
Practice address
12970 W BLUEMOUND RD, #105, ELM GROVE, WI 53122
(262) 787-2907
Mailing address
12970 W BLUEMOUND RD, #105, ELM GROVE, WI 53122
(262) 787-2907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1685125
WI
106H00000X
Marriage & Family Therapist
493124
WI
Other
Enumeration date
10/10/2006
Last updated
09/11/2025
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