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Individual

DR. DANIEL L RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
257 AUBURN ST, PORTLAND, ME 04103-2137
(207) 712-0497
Mailing address
257 AUBURN ST, PORTLAND, ME 04103-2137
(207) 712-0497

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC86
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061449
ANTHEM
ME
01
5420284
AETNA
ME
Enumeration date
10/28/2006
Last updated
07/08/2007
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