Individual
DR. SAMUEL RICHARDSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DCC, LCPC, CTC
Contact information
Practice address
92 CHESTNUT ST, CHERAW, SC 29520-3414
(843) 337-1979
(843) 537-1479
Mailing address
9 CHURCH ST, CHERAW, SC 29520-2707
(843) 337-1979
(843) 537-1479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15461
DE
101YM0800X
Mental Health Counselor
15461
FL
101YP1600X
Pastoral Counselor
15461
DE
101YP1600X
Pastoral Counselor
15461
FL
103K00000X
Behavior Analyst
Primary
15461
FL
106H00000X
Marriage & Family Therapist
15461
FL
Other
Enumeration date
10/31/2012
Last updated
10/12/2021
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