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Individual

MELINDA D RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1619 SIXTH ST UNIT 3, ST THOMAS, VI 00802-2635
(340) 513-1234
(404) 521-4527
Mailing address
3823 ROSWELL RD STE 102, MARIETTA, GA 30062-6294
(678) 604-7458

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
LPC007245
GA

Other

Enumeration date
04/10/2013
Last updated
03/10/2020
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