Individual
ALYSSIA RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 PRUDENTIAL DR STE 510, JACKSONVILLE, FL 32207-8207
(904) 376-3800
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH28296
FL
Other
Enumeration date
06/17/2025
Last updated
08/25/2025
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