Individual
MRS. KIRBIE JO RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(888) 103-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(888) 403-1071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017034847
MO
Other
Enumeration date
06/30/2018
Last updated
09/30/2019
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