Individual
CHARLENE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
921 COLLEGE HILL DR, CLEARWATER, FL 33765-2313
(239) 216-3060
Mailing address
921 COLLEGE HILL DR, CLEARWATER, FL 33765-2313
(239) 216-3060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14330
FL
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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