Individual
MELISA RENEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 E WASHINGTON ST, HAYTI, MO 63851-1752
(573) 359-0329
Mailing address
812 E WASHINGTON ST, HAYTI, MO 63851-1752
(573) 359-0329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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