Individual
MS. ANTIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS
Contact information
Practice address
804 N HOAGLAND BLVD, KISSIMMEE, FL 34741-4518
(407) 931-2911
Mailing address
2305 FLAMINGO LAKES DR, KISSIMMEE, FL 34743-3305
(407) 922-8968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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