Individual
MR. RECCO S. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008455
MI
101YP2500X
Professional Counselor
6401008455
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910736
BLUE SHIELD OPC
MI
Enumeration date
02/27/2007
Last updated
05/21/2025
Update your record
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