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Individual

MR. ANDRE L. RICHARDS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MAC, SAP, CCS, CSAC

Contact information

Practice address
720 RODMAN AVE, PORTSMOUTH, VA 23707-3118
(757) 749-6119
(757) 393-9611
Mailing address
757 SPENCE CIR, VIRGINIA BEACH, VA 23462-4875
(757) 749-6119

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
710102796
VA

Other

Enumeration date
12/02/2019
Last updated
12/02/2019
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