Individual
BRENDA ROSE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR CADC
Contact information
Practice address
2020 W HARRISON ST, CHICAGO, IL 60612-3741
(312) 572-4733
Mailing address
2020 W HARRISON ST, CHICAGO, IL 60612-3741
(312) 572-4733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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