Individual
MS. KIM E. RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, LADC II
Contact information
Practice address
60 MAIN ST APT 4, FAIRHAVEN, MA 02719-2985
(508) 415-0339
Mailing address
60 MAIN ST APT 4, FAIRHAVEN, MA 02719-2985
(508) 415-0339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2074AD
MA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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