Individual
MISS ERICA MARIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 816-6589
Mailing address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 816-6589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22541
CASAC
NY
Enumeration date
04/17/2019
Last updated
04/17/2019
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