Individual
LORETTA LOU RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1300 E MULLAN AVE, POST FALLS, ID 83854-6052
(208) 625-4295
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60756938
WA
104100000X
Social Worker
LMSW-35213
ID
1041C0700X
Clinical Social Worker
Primary
LMSW 35213
ID
Other
Enumeration date
10/12/2015
Last updated
04/14/2021
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