Individual
MR. EDWARD JAY RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
6220 GASTON AVE STE 501, DALLAS, TX 75214-4354
(214) 766-9200
(214) 528-4515
Mailing address
3109 KNOX ST STE 510, DALLAS, TX 75205-4029
(214) 766-9200
(214) 528-4515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17031
TX
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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