Individual
MRS. R. L. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, EDS
Contact information
Practice address
1910 MARSH ST, ONEONTA, AL 35121-2728
(205) 594-7495
Mailing address
1910 MARSH ST, ONEONTA, AL 35121-2728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4728
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4728
LICENSED PROFESSIONAL COUNSELOR
AL
Enumeration date
03/01/2021
Last updated
09/14/2021
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