Individual
MS. CHERYL DIANE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMHCI
Contact information
Practice address
389 ACORN LN, LEESBURG, FL 34748-7120
(352) 801-9971
Mailing address
389 ACORN LN, LEESBURG, FL 34748-7120
(352) 801-9971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R263104698610
—
FL
Enumeration date
10/21/2019
Last updated
10/21/2019
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