Individual
DUSTIN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1406 CRAIN HWY S STE 104, GLEN BURNIE, MD 21061-4086
(410) 766-6624
(410) 766-0240
Mailing address
3643 CHILDRESS TER, BURTONSVILLE, MD 20866-2038
(410) 938-0636
(410) 766-0240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7682
MD
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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