Individual
TALICIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
5111 ROGERS AVE STE 561, FORT SMITH, AR 72903-2047
(479) 595-8333
Mailing address
509 N 7TH ST, FORT SMITH, AR 72901-2015
(214) 912-0353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2309022
AR
101YP2500X
Professional Counselor
Primary
A2309022
AR
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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