Individual
ALICIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4520 N CLARENDON AVE, CHICAGO, IL 60640-7271
(224) 374-9452
Mailing address
4520 N CLARENDON AVE, CHICAGO, IL 60640-7271
(224) 374-9452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
178.007663
IL
101YP2500X
Professional Counselor
Primary
180009157
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/21/2014
Last updated
01/30/2024
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