Organization
MICHAEL K. RICHARDSON
Active
Other names
Breakthrough Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KEITH RICHARDSON LCSW (OWNER/THERAPIST)
(208) 471-8079
Entity
Organization
Contact information
Practice address
12271 HARTFORD AVE, OROFINO, ID 83544-9348
(208) 471-8079
(877) 775-0174
Mailing address
PO BOX 381, OROFINO, ID 83544-0381
(208) 471-8079
(877) 775-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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