Individual
JANAE NICOL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10099 KELLI LEANNE CIR, KEITHVILLE, LA 71047-7569
(318) 655-1077
Mailing address
10099 KELLI LEANNE CIR, KEITHVILLE, LA 71047-7569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
04/12/2023
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