Individual
TARA LYNN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2469 CORRALES RD, SUITE E, CORRALES, NM 87048-9146
(505) 830-1871
Mailing address
6200 EUBANK BLVD NE, 1722, ALBUQUERQUE, NM 87111-7379
(989) 854-2221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0174641
NM
Other
Enumeration date
08/03/2015
Last updated
05/19/2016
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