Individual
MAYRA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
523 GRESHAM AVENUE SE, ATLANTA, GA 30316-3031
(770) 330-0634
Mailing address
138 W LAKE AVE NW, ATLANTA, GA 30314-1857
(770) 330-0634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011379
GA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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