Individual
SABRINA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W, CBHCMS
Contact information
Practice address
2789 ORTIZ AVENUE, FORT MYERS, FL 33905-7806
(239) 275-3222
Mailing address
3763 EVANS AVENUE, FORT MYERS, FL 33901-9302
(239) 275-3222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
CBHCMS100575
FL
Other
Enumeration date
01/27/2019
Last updated
06/24/2019
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