Individual
CASEY RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2521 13TH ST STE F, SAINT CLOUD, FL 34769-4103
(407) 900-4885
Mailing address
2521 13TH ST STE F, SAINT CLOUD, FL 34769-4103
(407) 900-4885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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