Organization
RICHARDSON COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISA R. RICHARDSON BA,CADC,NCACII,SAP,C (CLINICAL DIRECTOR / OWNER)
(309) 633-1030
Entity
Organization
Contact information
Practice address
5909 S ADAMS ST, BARTONVILLE, IL 61607-1983
(309) 633-1030
(309) 633-1051
Mailing address
5909 S ADAMS ST, BARTONVILLE, IL 61607-1983
(309) 633-1030
(309) 633-1051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-6276-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-6276-0001-A
STATE LICENSE NUMBER
IL
Enumeration date
05/21/2009
Last updated
05/21/2009
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