Individual
INGRID A. RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5357 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-5027
(770) 942-4742
Mailing address
5357 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-5027
(770) 942-4742
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006179
GA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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