Individual
MICHAEL RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3091 SIR HAMILTON CIR, TITUSVILLE, FL 32780-4959
(321) 593-0926
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-5566
(407) 690-9412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
NMLPCC0190521
NM
Other
Enumeration date
05/10/2020
Last updated
03/22/2025
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