Individual
MR. CLARK EDWARD RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2201 N IRONWOOD PL STE 100, COEUR D ALENE, ID 83814-2670
(208) 769-4222
(844) 803-7399
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 4465
ID
Other
Enumeration date
12/10/2007
Last updated
04/08/2022
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