Individual
ALEXIS ELLEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 COUCH LN, EASLEY, SC 29642-1997
(864) 553-6100
Mailing address
151 CENTURY DR APT 121F, GREENVILLE, SC 29607-1550
(304) 231-7198
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7003
SC
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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