Individual
MIAKITA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
2303 SIDNEY PORTER DR, GREENSBORO, NC 27405-1694
(336) 675-1924
(336) 675-1924
Mailing address
2303 SIDNEY PORTER DR, GREENSBORO, NC 27405-1694
(336) 675-1924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3060
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
3060-A
NC
104100000X
Social Worker
—
—
Other
Enumeration date
02/10/2013
Last updated
03/17/2018
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