Individual
MANDY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 HIGHWAY 95A, SUITE H802, FERNLEY, NV 89408
(775) 575-6191
Mailing address
720 S MAIN ST STE C, YERINGTON, NV 89447-2474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/13/2018
Last updated
07/14/2026
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