Individual
ANDREA ELISE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5650 MOUNT ACKERLY DR, SAN DIEGO, CA 92111-4016
(858) 496-8205
Mailing address
2351 CARDINAL LN # B, SAN DIEGO, CA 92123-3743
(858) 573-2227
(858) 292-9529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
04/04/2023
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