Individual
DENISE W RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
5422 CLINTON BLVD, JACKSON, MS 39209-3050
(601) 923-1645
(601) 923-1634
Mailing address
3 AVERY CIR, JACKSON, MS 39211-2403
(601) 212-5682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0570
MS
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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