Individual
TAMECA RASHAUN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP, CSAC-A, PMP
Contact information
Practice address
606 BROAD ST, SOUTH BOSTON, VA 24592-3200
(434) 265-5004
(434) 608-0504
Mailing address
196 SIMMONS LAKE DR, GIBSONVILLE, NC 27249-8942
(336) 254-5163
(434) 608-0504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0711000387
VA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
08/01/2025
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