Individual
KEONNA RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
PO BOX 1265, BRUSH PRAIRIE, WA 98606-0017
(360) 360-1187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61600783
WA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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