Individual
SUSAN RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004309
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103072
—
WA
Enumeration date
05/13/2015
Last updated
02/08/2019
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