Individual
KEITH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 E MAIN ST STE A, SALISBURY, MD 21801-5044
(410) 860-9600
Mailing address
220 E MAIN ST STE A, SALISBURY, MD 21801-5044
(410) 860-9600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0544
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-2739
MN
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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