Individual
ALONZO RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
Mailing address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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