Individual
MS. KATHLEEN MARIE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LPC
Contact information
Practice address
316 MCRAE ST, RAEFORD, NC 28376-3014
(817) 307-2496
(910) 248-6649
Mailing address
316 MCRAE ST, RAEFORD, NC 28376-3014
(817) 307-2496
(910) 248-6649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65534
TX
Other
Enumeration date
04/01/2011
Last updated
08/19/2013
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