Individual
MRS. CHELSEA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
205 MAIN ST, BROKEN BOW, OK 74728-3975
(580) 584-2478
Mailing address
508 W LEEPER ST, BROKEN BOW, OK 74728-4730
(580) 264-0055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7349
OK
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/18/2013
Last updated
05/28/2020
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