Individual
DR. JOHN ROBERT RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, D.MIN.
Contact information
Practice address
PP/125 BUILDING 314 ROOM C106, VA MEDICAL CENTER - PERRY POINT DIV, PERRY POINT, MD 21902
(410) 642-1037
(410) 642-1843
Mailing address
1414 BAYVIEW DR, HAVRE DE GRACE, MD 21078-2454
(410) 939-3752
(410) 642-1843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1087
MD
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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