Individual
SUZANNE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1313 N 16TH AVE, DURANT, OK 74701-2134
(580) 634-2332
Mailing address
1313 N 16TH AVE, DURANT, OK 74701-2134
(580) 634-2332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2807
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746700B
—
OK
Enumeration date
05/06/2010
Last updated
05/20/2024
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