Individual
JOANNE CAROL RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
49 WHITEHALL AVE, MYSTIC, CT 06355-1966
(860) 961-5702
(860) 415-9370
Mailing address
49 WHITEHALL AVE, MYSTIC, CT 06355-1966
(860) 961-5702
(860) 415-9370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6407
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC-6407
CT
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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