Individual
DOUGLAS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
402 MAIN ST # 1198, PANHANDLE, TX 79068-3052
(817) 219-5304
Mailing address
402 MAIN ST # 1198, PANHANDLE, TX 79068-3052
(817) 219-5304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
72580
TX
Other
Enumeration date
09/25/2017
Last updated
07/18/2024
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