Individual
MRS. CASSANDRA LYNN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17200 W 10 MILE RD, SUITE 113, SOUTHFIELD, MI 48075-2928
(248) 443-1940
(586) 757-8386
Mailing address
13034 CHAMPAIGN AVE, WARREN, MI 48089-1348
(586) 944-3798
(586) 757-8386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401011793
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630255
CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY
MI
Enumeration date
01/23/2010
Last updated
05/04/2010
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