Individual
MRS. ALICIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4009 HOLLEMAN DR, MOBILE, AL 36618-1408
(251) 753-0668
Mailing address
4009 HOLLEMAN DR, MOBILE, AL 36618-1408
(251) 753-0668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3163
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32030406
—
AL
Enumeration date
08/21/2013
Last updated
08/21/2013
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