Individual
MELAINAH K RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4702 N LAURENT ST STE D, VICTORIA, TX 77904-2158
(361) 489-0212
Mailing address
4702 N LAURENT ST STE D, VICTORIA, TX 77904-2158
(361) 489-0212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14325
TX
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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