Individual
MRS. JULIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1143 FAIRWAY ST, SUITE 103, BOWLING GREEN, KY 42103-2452
(270) 904-6307
(270) 904-6314
Mailing address
1143 FAIRWAY ST, SUITE 103, BOWLING GREEN, KY 42103-2452
(270) 904-6307
(270) 904-6314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1391
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
KY
Enumeration date
10/21/2016
Last updated
10/22/2016
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