Individual
STACY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LMHC, LPC
Contact information
Practice address
521 PARK CRES, NORFOLK, VA 23511-4009
(757) 444-7295
Mailing address
521 PARK CRES, NORFOLK, VA 23511-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1352-07
HI
101YM0800X
Mental Health Counselor
209
HI
101YP2500X
Professional Counselor
0701005024
VA
106H00000X
Marriage & Family Therapist
Primary
0717001221
VA
Other
Enumeration date
09/10/2010
Last updated
07/18/2011
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