Individual
CHANDRA CHRISTINE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, CDP
Contact information
Practice address
316 W BOONE AVE STE 850, SPOKANE, WA 99201-2353
(509) 795-0777
Mailing address
316 W BOONE AVE STE 850, SPOKANE, WA 99201-2353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60801470
WA
1041C0700X
Clinical Social Worker
Primary
LW61479940
WA
Other
Enumeration date
11/03/2017
Last updated
04/30/2024
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