Individual
CONCHATA S RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
3645 MARKETPLACE BLVD STE 130-33, EAST POINT, GA 30344-5747
(470) 485-8118
Mailing address
2900 LAUREL RIDGE WAY APT 2206, EAST POINT, GA 30344-8002
(770) 715-2130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012235
GA
Other
Enumeration date
11/10/2015
Last updated
09/16/2022
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