Individual
BRIAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
686 LAKE ST, PORT TOWNSEND, WA 98368-2282
(360) 385-3866
Mailing address
686 LAKE ST, PORT TOWNSEND, WA 98368-2282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO729472
WA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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