Individual
MS. STACY RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
950 N 4TH ST, LONGVIEW, TX 75601-5436
(903) 758-0596
(903) 758-0598
Mailing address
PO BOX 6800, LONGVIEW, TX 75608-6800
(903) 758-2471
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507902
MAC- NATIONAL CERTIFICATION COMMISSION FOR ADDICTION PROFESSIONALS
TX
01
—
8369
LCDC TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
06/26/2012
Last updated
05/17/2016
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