Individual
AYANNA A RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LADC
Contact information
Practice address
964 CHARLES AVE, SAINT PAUL, MN 55104-2613
(612) 752-8567
Mailing address
1900 CHICAGO AVE, MINNEAPOLIS, MN 55404-1903
(612) 752-8567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305809
MN
104100000X
Social Worker
Primary
29116
MN
Other
Enumeration date
05/14/2021
Last updated
04/24/2025
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