Individual
REBECCA A RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
816 WASHINGTON ST, MANITOWOC, WI 54220-4537
(920) 645-3743
Mailing address
948 N 5TH ST, MANITOWOC, WI 54220-3339
(262) 719-5177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6845
WI
Other
Enumeration date
03/15/2018
Last updated
07/08/2024
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