Individual
MRS. DEANNA MARIE RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
9407 N GOVERNMENT WAY STE 12, HAYDEN, ID 83835-8230
(208) 918-0856
Mailing address
9407 N GOVERNMENT WAY STE 12, HAYDEN, ID 83835-8230
(503) 314-5280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R4676
OR
101YM0800X
Mental Health Counselor
Primary
8415
ID
Other
Enumeration date
01/18/2018
Last updated
08/31/2022
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