Individual
MS. RICHARNE FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1412 SAND WAY STE 100, LAWRENCEVILLE, GA 30045-2904
(313) 492-7478
Mailing address
1412 SAND WAY STE 100, LAWRENCEVILLE, GA 30045-2904
(313) 492-7478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401008973
MI
101YM0800X
Mental Health Counselor
Primary
6401008973
MI
101YP2500X
Professional Counselor
6401008973
MI
Other
Enumeration date
04/15/2011
Last updated
03/12/2021
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