Individual
NICOLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24654 N LAKE PLEASANT PKWY STE 103-814, PEORIA, AZ 85383-1359
(480) 648-9699
Mailing address
24654 N LAKE PLEASANT PKWY STE 103-814, PEORIA, AZ 85383-1359
(480) 648-9699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
AZ
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/11/2020
Last updated
05/11/2021
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