Individual
DAHEEM JIHAR RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 SUMMER ST, FITCHBURG, MA 01420-0200
(978) 696-5524
(978) 696-5534
Mailing address
76 SUMMER ST, FITCHBURG, MA 01420-0200
(978) 696-5524
(978) 696-5534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-420-142
MA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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