Individual
DR. BRENT GENTRY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
3800 VICTORY PKWY, CINCINNATI, OH 45207-1035
(513) 745-4294
Mailing address
107 HIGHLAND AVE, FORT MITCHELL, KY 41017-2919
(513) 470-5174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0002353
OH
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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