Individual
MS. TINA KAY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1395 MISSOURI AVE, LAS CRUCES, NM 88001
(505) 522-5466
(505) 521-8611
Mailing address
2320 SANTO DOMINGO AVE, LAS CRUCES, NM 88011-7021
(505) 522-5466
(505) 521-8611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
006139
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM102271
—
NM
Enumeration date
02/21/2006
Last updated
11/07/2016
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