Individual
SILAS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 E 2ND ST STE 224, WINONA, MN 55987-6354
(507) 474-4140
(507) 474-4141
Mailing address
902 E 2ND ST STE 224, WINONA, MN 55987-6354
(507) 474-4140
(507) 474-4141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303229
MN
104100000X
Social Worker
26330
MN
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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