Individual
FALICE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6703 E AVALON ST, MESA, AZ 85205-9014
(480) 687-5107
Mailing address
6703 E AVALON ST, MESA, AZ 85205-9014
(480) 687-5107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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