Individual
MRS. DEBORAH W RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 695-8119
(804) 695-8122
Mailing address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 695-8119
(804) 695-8122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000232
VA
106H00000X
Marriage & Family Therapist
Primary
0717001217
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497717615
VA PREMIER
VA
05
—
1497717615
—
VA
01
—
294721
VALUE OPTIONS
VA
Enumeration date
04/01/2010
Last updated
04/01/2010
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